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NPI Code Detail

MEDICARE: NABAT MIRPOURIAN CRNP

MEDICARE: NABAT MIRPOURIAN CRNP
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
1363L00000XNurse Practitioner20483CA

General Provider Information

NPI Number : 1447342704
Entity Type Code : Individual
Provider Name (Legal Business Name) : NABAT MIRPOURIAN CRNP
Provider Business Mailing Address
First Line : 10790 RANCHO BERNARDO RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-5705
Country : US
Telephone Number : 760-704-5860
Fax Number :
Provider Business Practice Location Address
First Line : 2205 VISTA WAY
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-5661
Country : US
Telephone Number : 760-704-5860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 11/29/2022

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