Provider Demographics
NPI:1639980923
Name:MAHRABKHANI, BITA (FNP-C FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:BITA
Middle Name:
Last Name:MAHRABKHANI
Suffix:
Gender:F
Credentials:FNP-C FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9639 GEYSER AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-1918
Mailing Address - Country:US
Mailing Address - Phone:818-642-1192
Mailing Address - Fax:
Practice Address - Street 1:23101 SHERMAN PL STE 410
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2026
Practice Address - Country:US
Practice Address - Phone:818-312-9101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021831363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty