Healthcare Provider Details

I. General information

NPI: 1780567123
Provider Name (Legal Business Name): ARMINE HAYRAPETYAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11500 BURBANK BLVD
NORTH HOLLYWOOD CA
91601-2308
US

IV. Provider business mailing address

11500 BURBANK BLVD
NORTH HOLLYWOOD CA
91601-2308
US

V. Phone/Fax

Practice location:
  • Phone: 818-599-9971
  • Fax: 818-743-0889
Mailing address:
  • Phone: 818-599-9971
  • Fax: 818-743-0889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95033842
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: