Provider Demographics
NPI:1093592461
Name:PAPAZYAN, VIOLETA (FNP)
Entity Type:Individual
Prefix:
First Name:VIOLETA
Middle Name:
Last Name:PAPAZYAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16358 KEELER DR
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-3035
Mailing Address - Country:US
Mailing Address - Phone:818-405-7764
Mailing Address - Fax:
Practice Address - Street 1:16358 KEELER DR
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-3035
Practice Address - Country:US
Practice Address - Phone:818-405-7764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95027132363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily