MEDICARE: ARMINE HARUTYUNYAN DNP, FNP-C, 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95002004	CA
2	363LF0000X	Family Nurse Practitioner	95002004	CA

General Provider Information

NPI Number	:	1598155301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMINE HARUTYUNYAN DNP, FNP-C, PMHNP-BC

Provider Business Mailing Address
First Line	:	18040 SHERMAN WAY STE 204
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-4656
Country	:	US
Telephone Number	:	818-964-2222
Fax Number	:	747-267-7878

Provider Business Practice Location Address
First Line	:	18040 SHERMAN WAY STE 204
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-4656
Country	:	US
Telephone Number	:	818-618-7737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2015
Last Update Date	:	05/09/2023

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