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NPI Code Detail

MEDICARE: ADRIANA SULT PMHNP-BC

MEDICARE: ADRIANA SULT PMHNP-BC
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 PractitionerNP95028901CA

General Provider Information

NPI Number : 1558124867
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANA SULT PMHNP-BC
Provider Business Mailing Address
First Line : 6320 CANOGA AVE STE 1500
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-2517
Country : US
Telephone Number : 747-746-4720
Fax Number : 747-204-3104
Provider Business Practice Location Address
First Line : 6320 CANOGA AVE STE 1500
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-2517
Country : US
Telephone Number : 747-746-4720
Fax Number : 747-204-3104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2024
Last Update Date : 11/06/2024

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Directions to “ ADRIANA SULT PMHNP-BC” Practice Location

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