Provider Demographics
NPI:1841004710
Name:DUDUYAN, ANAIT ANAIS (FNP-C)
Entity type:Individual
Prefix:MISS
First Name:ANAIT
Middle Name:ANAIS
Last Name:DUDUYAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8404 WAKEFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-3749
Mailing Address - Country:US
Mailing Address - Phone:818-331-5633
Mailing Address - Fax:
Practice Address - Street 1:140 N VICTORY BLVD STE 105
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1848
Practice Address - Country:US
Practice Address - Phone:818-841-5020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95029219363L00000X
CA95194429163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WH1000XNursing Service ProvidersRegistered NurseHospice