Healthcare Provider Details

I. General information

NPI: 1366365074
Provider Name (Legal Business Name): ALANA MICHELLE BRAGER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8420 COREYELL PL
LOS ANGELES CA
90046-1024
US

IV. Provider business mailing address

8420 COREYELL PL
LOS ANGELES CA
90046-1024
US

V. Phone/Fax

Practice location:
  • Phone: 323-445-1068
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF05260034
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: