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NPI Code Detail

MEDICARE: FE A NAVARREZ NP

MEDICARE: FE A NAVARREZ NP
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
1363LX0001XObstetrics & Gynecology Nurse Practitioner11222CA

General Provider Information

NPI Number : 1538160320
Entity Type Code : Individual
Provider Name (Legal Business Name) : FE A NAVARREZ NP
Provider Business Mailing Address
First Line : 1172 N MACLAY AVE
Second Line :
City : SAN FERNANDO
State : CA
Zip : 91340-1328
Country : US
Telephone Number : 818-898-1388
Fax Number : 818-365-4031
Provider Business Practice Location Address
First Line : 12756 VAN NUYS BLVD
Second Line :
City : PACOIMA
State : CA
Zip : 91331-1626
Country : US
Telephone Number : 818-896-0531
Fax Number : 818-896-5850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 07/08/2007

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Directions to “ FE A NAVARREZ NP” Practice Location

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