Anna Longuryan, FNP
Nurse Practitioner, Family in Los Angeles, CA. Individual provider (NPI-1).
NPI number1336769728
StatusActive
Last updated in NPPESOct 21, 2021
Details
- NPI
- 1336769728
- Entity type
- Individual (NPI-1)
- Name
- Anna Longuryan
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2020
- Certification date
- Oct 21, 2021
- Last updated
- Oct 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | NPF95016479 | CA | Yes |
| 163W00000X | Registered Nurse | 644401 | CA |
Practice location
1300 N Vermont AveLos Angeles, CA 90027-6098
Phone 323-913-4805
Mailing address
848 Bethany RdBurbank, CA 91504-3009
Phone 323-240-9560
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