Provider Demographics
NPI:1801327234
Name:NINKOVV, BRANISLAVA (RN, MSN)
Entity type:Individual
Prefix:
First Name:BRANISLAVA
Middle Name:
Last Name:NINKOVV
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 N ALTA VISTA BLVD APT 404
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-4389
Mailing Address - Country:US
Mailing Address - Phone:323-244-8571
Mailing Address - Fax:
Practice Address - Street 1:1420 N ALTA VISTA BLVD APT 404
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-4389
Practice Address - Country:US
Practice Address - Phone:323-244-8571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95067891374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula