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NPI Code Detail

MEDICARE: RIANA NICOLAYSEN

MEDICARE: RIANA NICOLAYSEN
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 PractitionerSP030566PA

General Provider Information

NPI Number : 1952145351
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIANA NICOLAYSEN
Provider Business Mailing Address
First Line : 18646 OXNARD ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-1486
Country : US
Telephone Number : 818-853-1928
Fax Number :
Provider Business Practice Location Address
First Line : 18646 OXNARD ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-1486
Country : US
Telephone Number : 818-996-1051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2024
Last Update Date : 01/21/2026

Similar Medicare Providers

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1447042411 — REBECCA MILLER
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1861639239 — DR. KIMBERLY PONTON CROWE MD
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1528298635 — RICK SUMMERVILLE
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Directions to “ RIANA NICOLAYSEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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