Provider Demographics
NPI:1780645077
Name:KREMICKI, NORINDA (NP)
Entity Type:Individual
Prefix:
First Name:NORINDA
Middle Name:
Last Name:KREMICKI
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 1:7301 MEDICAL CENTER DR STE 500
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-4101
Mailing Address - Country:US
Mailing Address - Phone:818-226-1211
Mailing Address - Fax:818-992-6853
Practice Address - Street 1:7301 MEDICAL CENTER DR STE 500
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-4101
Practice Address - Country:US
Practice Address - Phone:818-226-3666
Practice Address - Fax:818-992-6853
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAW388644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAS 64170Medicare UPIN