Provider Demographics
NPI:1376346841
Name:NIKOGHOSYAN, KARINE (FNP)
Entity type:Individual
Prefix:
First Name:KARINE
Middle Name:
Last Name:NIKOGHOSYAN
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 1:18796 JUNIPER SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91387-1465
Mailing Address - Country:US
Mailing Address - Phone:818-314-6084
Mailing Address - Fax:
Practice Address - Street 1:18796 JUNIPER SPRINGS DR
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91387-1465
Practice Address - Country:US
Practice Address - Phone:818-314-6084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95030379363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty