MARINE MARY KADEMYAN AGNP
NPI 1972113355
Nurse Practitioner - Primary Care in North Hollywood, CA
Active since July 31, 2020
About Marine Mary Kademyan Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARINE MARY KADEMYAN AGNP (NPI 1972113355) is an individual primary care provider in North Hollywood, California, licensed in California (2020012513) and active in the NPI registry since July 2020.
NPPES Registry Identity
NPI1972113355
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMARINE MARY KADEMYANCredential: AGNP
Location Address6528 BABCOCK AVENorth Hollywood, CA 91606
Mailing Address5404 Whitsett Ave # 79Valley Village, CA 91607-1615 · (818) 434-4722
Phone(818) 434-4722
Sole ProprietorYes
Enumeration DateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
✔ NPI 1972113355 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 2020012513
6528 BABCOCK AVE, North Hollywood, CA 91606
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972113355, enumerated as an "individual" on July 31, 2020.
The provider is located at 6528 BABCOCK AVE NORTH HOLLYWOOD, CA 91606 and the phone number is (818) 434-4722.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.
