Oksana Mazurova, FNP
Nurse Practitioner, Family in North Hollywood, CA. Individual provider (NPI-1).
NPI number1699487090
StatusActive
Last updated in NPPESDec 16, 2022
Details
- NPI
- 1699487090
- Entity type
- Individual (NPI-1)
- Name
- Oksana Mazurova
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2022
- Certification date
- Dec 16, 2022
- Last updated
- Dec 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95023317 | CA | Yes |
| 163WG0000X | Registered Nurse, General Practice | 95062071 | CA |
Practice location
11631 Victory Blvd Ste 101North Hollywood, CA 91606-3572
Phone 818-764-8838
Mailing address
7135 Hollywood Blvd Apt 410West Hollywood, CA 90046-3543
Phone 818-939-6307
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