Unknown Individual – Family Nurse Practitioner, NPI 1194890145
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
90 E GRANDVIEW AVE
SIERRA MADRE, CA 910241909
Phone: (626) 355-7632
Fax: (626) 599-8030
Type: Mailing
Azusa Pacific University, 701, East Foothill Boulevard, Azusa, Los Angeles County, California, 91702, United States
AZUSA, CA 917022606
Phone: (626) 815-5403
Fax: (626) 815-5414
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91024)
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