NPI Code Detail JSON Logo

1609460963 NPI number — NATALYA DVERINA RN MSN, FNP-BC

NPI Number: 1609460963
Health Care Provider/Practitioner: NATALYA DVERINA RN MSN, FNP-BC

Information about “1609460963” NPI (NATALYA DVERINA RN MSN, FNP-BC) exists in 1609460963 in HTML format HTML  |  1609460963 in plain Text format TXT  |  1609460963 in PDF (Portable Document Format) PDF  |  1609460963 in an XML format XML  formats.

NPI Number : 1609460963 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609460963",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DVERINA",
    "FirstName": "NATALYA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN MSN, FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4901 BILOXI AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH HOLLYWOOD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91601-4814",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-962-6991",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6404 WILSHIRE BLVD STE 701",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90048-5509",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-623-1911",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/25/2021",
    "LastUpdateDate": "03/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "95016793",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.