Provider Demographics
NPI:1457013146
Name:BAYAN, LIZA (FNP)
Entity Type:Individual
Prefix:
First Name:LIZA
Middle Name:
Last Name:BAYAN
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 1:11048 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-3006
Mailing Address - Country:US
Mailing Address - Phone:562-842-3038
Mailing Address - Fax:562-842-3038
Practice Address - Street 1:11048 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-3006
Practice Address - Country:US
Practice Address - Phone:562-842-3038
Practice Address - Fax:562-842-3038
Is Sole Proprietor?:No
Enumeration Date:2021-10-10
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016856363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily