Raizza Queen Baniqued Acode, FNP-BC, NP-C
Nurse Practitioner in North Hollywood, CA. Individual provider (NPI-1).
NPI number1245052018
StatusActive
Last updated in NPPESJul 29, 2026
Details
- NPI
- 1245052018
- Entity type
- Individual (NPI-1)
- Name
- Raizza Queen Baniqued Acode
- Credential
- FNP-BC, NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2024
- Certification date
- Jul 29, 2026
- Last updated
- Jul 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95032745 | CA | Yes |
Practice location
11633 Victory Blvd Ste 100North Hollywood, CA 91606-3513
Phone 888-530-4415 · Fax 833-471-5322
Mailing address
11633 Victory Blvd Ste 100North Hollywood, CA 91606-3513
Phone 888-530-4415 · Fax 833-471-5322
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