Provider Demographics
NPI:1174002992
Name:SAFARIAN, NAREENE (NP)
Entity Type:Individual
Prefix:
First Name:NAREENE
Middle Name:
Last Name:SAFARIAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14572 DICKENS ST UNIT 303
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3777
Mailing Address - Country:US
Mailing Address - Phone:818-620-5911
Mailing Address - Fax:
Practice Address - Street 1:14572 DICKENS ST UNIT 303
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3777
Practice Address - Country:US
Practice Address - Phone:818-620-5911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008690363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care