Provider Demographics
NPI:1851157374
Name:FAMILY FIRST NURSE PRACTITIONER, NURSING CORP.
Entity Type:Organization
Organization Name:FAMILY FIRST NURSE PRACTITIONER, NURSING CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NP
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:310-765-9019
Mailing Address - Street 1:3808 W. RIVERSIDE DR, SUITE 406
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4325
Mailing Address - Country:US
Mailing Address - Phone:310-765-9019
Mailing Address - Fax:310-765-9019
Practice Address - Street 1:3808 W RIVERSIDE DR STE 406
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-5301
Practice Address - Country:US
Practice Address - Phone:310-765-9019
Practice Address - Fax:310-765-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty