Individual provider · NPI-1

Amalya Balayan, FNP-BC

Nurse Practitioner · Ventura, CA

NPI number1205548245
StatusActive
Last updated in NPPESDec 6, 2023

Details

NPI
1205548245
Entity type
Individual (NPI-1)
Name
Amalya Balayan
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Dec 21, 2022
Certification date
Dec 6, 2023
Last updated
Dec 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner95023350CAYes

Practice location

300 Hillmont Ave Unit 401
Ventura, CA 93003-1651

Phone 805-652-6201

Mailing address

300 Hillmont Ave Unit 401
Ventura, CA 93003-1651

Phone 805-652-6201

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