Provider Demographics
NPI:1447573167
Name:RANGAN, KASEY ERIN (RN MSN CPNP)
Entity Type:Individual
Prefix:MS
First Name:KASEY
Middle Name:ERIN
Last Name:RANGAN
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Gender:F
Credentials:RN MSN CPNP
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Mailing Address - Street 1:4650 SUNSET BLVD
Mailing Address - Street 2:MS 54
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027
Mailing Address - Country:US
Mailing Address - Phone:323-361-6053
Mailing Address - Fax:323-361-8767
Practice Address - Street 1:4650 SUNSET BLVD
Practice Address - Street 2:MS 54
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027
Practice Address - Country:US
Practice Address - Phone:323-361-6053
Practice Address - Fax:323-361-8767
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2014-04-03
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Provider Licenses
StateLicense IDTaxonomies
CA20090017363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics