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NPI Code Detail

MEDICARE: ANETA ISAYAN

MEDICARE:   ANETA  ISAYAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95221605CA

General Provider Information

NPI Number : 1023893302
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANETA ISAYAN
Provider Business Mailing Address
First Line : 17021 TIMBER RIDGE DR
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-1138
Country : US
Telephone Number : 818-636-7263
Fax Number :
Provider Business Practice Location Address
First Line : 17021 TIMBER RIDGE DR
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-1138
Country : US
Telephone Number : 818-636-7263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2023
Last Update Date : 08/25/2023

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Directions to “ ANETA ISAYAN ” Practice Location

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