Provider Demographics
NPI:1831950138
Name:NAZARIAN, ANASHEH (NP)
Entity type:Individual
Prefix:
First Name:ANASHEH
Middle Name:
Last Name:NAZARIAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ANASHEH
Other - Middle Name:
Other - Last Name:NAZARIAN DARBROUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 S VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2445
Mailing Address - Country:US
Mailing Address - Phone:818-798-2697
Mailing Address - Fax:
Practice Address - Street 1:800 S VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2445
Practice Address - Country:US
Practice Address - Phone:818-798-2697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95158716163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse