Provider Demographics
NPI:1346011277
Name:ASTILEAN, IOANA (RN)
Entity Type:Individual
Prefix:
First Name:IOANA
Middle Name:
Last Name:ASTILEAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11058 CHANDLER BLVD APT 3014
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4179
Mailing Address - Country:US
Mailing Address - Phone:909-856-9887
Mailing Address - Fax:
Practice Address - Street 1:11058 CHANDLER BLVD APT 3014
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-4179
Practice Address - Country:US
Practice Address - Phone:909-856-9887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95121735163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse