Healthcare Provider Details

I. General information

NPI: 1043576077
Provider Name (Legal Business Name): TALAR SHANT PAPAZIAN RN, NNP-BC, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2012
Last Update Date: 04/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 WESTWOOD PLZ NICU
LOS ANGELES CA
90095-8358
US

IV. Provider business mailing address

11051 HASKELL AVE
GRANADA HILLS CA
91344-5429
US

V. Phone/Fax

Practice location:
  • Phone: 310-267-7565
  • Fax:
Mailing address:
  • Phone: 310-993-3989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number20093
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: