Provider Demographics
NPI:1760965321
Name:HOUSE-MILBURN, KAREN SUE (FNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:HOUSE-MILBURN
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 1:16633 VENTURA BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1834
Mailing Address - Country:US
Mailing Address - Phone:818-981-3333
Mailing Address - Fax:818-981-0247
Practice Address - Street 1:16633 VENTURA BLVD STE 110
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1834
Practice Address - Country:US
Practice Address - Phone:818-981-3333
Practice Address - Fax:818-981-0247
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA423511363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily