EMMA AVETISYAN


Address: 6064 Hazelhurst Pl, Unit 1, North Hollywood, CA 91606-4858
Phone: 3234209515

EMMA AVETISYAN (NPI# 1114300449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114300449
Entity Type Individual
Full Name EMMA AVETISYAN
Credential AGNP
Practice Address 6064 Hazelhurst Pl
Unit 1
North Hollywood
CA 91606-4858
Practice Telephone 3234209515
Mailing Telephone 3234209515
Enumeration Date 2015-07-06
Last Update Date 2015-07-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
95002250 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6064 HAZELHURST PL
UNIT 1
City NORTH HOLLYWOOD
State CA
Zip Code 91606-4858

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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1588131759 Loice A Ongwela Clinical Nurse Specialist 300 Pasteur Dr Rm H0105, Stanford, CA 94305-2200 2018-10-25
1245739283 George Howard Herzog Clinical Nurse Specialist 4150 Clement St G1-111b1, San Francisco, CA 94121 2018-02-05
1285095018 Yelena Pletmintseva Clinical Nurse Specialist 1701 Divisadero St # 120, San Francisco, CA 94115-3011 2016-03-07
1326332313 Mary Pasdar Clinical Nurse Specialist 3003 Dow Ave Suite 204, Tustin, CA 92780 2011-06-07
1073830899 Lynn Marie Fontana Clinical Nurse Specialist 255 N El Cielo Rd # C326, Palm Springs, CA 92262-6992 2010-05-04
1497948814 Catherine A Bayne Clinical Nurse Specialist H-100 Santa Margarita Road, Naval Hospital, Camp Pendleton, CA 92055 2007-08-20
1609924075 Gloria Jean Mcneal Clinical Nurse Specialist 5245 Pacific Concourse Drive Suite 100, National University Nurse Managed Clinic, Los Angeles, CA 90054-6905 2007-01-08
1811055528 Li W Steffensen Clinical Nurse Specialist 9360 N Name Uno Ste 240, Gilroy, CA 95020-3535 2006-12-05
1043327679 Kathleen Ohanlon Clinical Nurse Specialist San Diego Veterans Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0001 2006-08-23
1942279856 Linda S. Brandewie Clinical Nurse Specialist 795 Willow Road, Menlo Park, CA 94025 2006-03-14
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Competitor

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City NORTH HOLLYWOOD
Zip Code 91606

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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