Provider Demographics
NPI:1659697043
Name:HERMANSON, ALAN PATRICK (FAMILY NURSE PRACTIT)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:PATRICK
Last Name:HERMANSON
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Gender:M
Credentials:FAMILY NURSE PRACTIT
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Mailing Address - Street 1:4650 SUNSET BOULEVARD
Mailing Address - Street 2:MAIL STOP 125, CHILDRENS HOSPITAL LOS ANGELES
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027
Mailing Address - Country:US
Mailing Address - Phone:323-361-4207
Mailing Address - Fax:323-361-8095
Practice Address - Street 1:4650 SUNSET BOULEVARD
Practice Address - Street 2:MAIL STOP 125, CHILDRENS HOSPITAL LOS ANGELES
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027
Practice Address - Country:US
Practice Address - Phone:323-361-4207
Practice Address - Fax:323-361-8095
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
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Provider Licenses
StateLicense IDTaxonomies
CA246230363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily