Josephine Isorena Bicknell, FNP
Nurse Practitioner, Family in Beverly Hills, CA. Individual provider (NPI-1).
NPI number1811328792
StatusActive
Last updated in NPPESJan 27, 2014
Details
- NPI
- 1811328792
- Entity type
- Individual (NPI-1)
- Name
- Josephine Isorena Bicknell
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2013
- Last updated
- Jan 27, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 23780 | CA | Yes |
Practice location
200 N Robertson BlvdSuite 101
Beverly Hills, CA 90211-1769
Phone 760-484-6353
Mailing address
4040 Grand View BlvdUnit #39
Los Angeles, CA 90066-5273
Phone 760-484-6353
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