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Moonlight Alan
Family Nurse Practitioner in Burbank, California
NPI 1245937036

Moonlight Alan is a Family Nurse Practitioner based in Los Angeles, CA and is specialized in Family. Moonlight Alan practices in Burbank, CA. The NPI Number for Moonlight Alan is 1245937036 and holds a License No. 95023700 (California).

The current practice location address for Moonlight Alan is 3808 W Riverside Dr Ste 407, Burbank, CA and can be reached out via phone at 213-218-9245.

Location: 3808 W Riverside Dr Ste 407, Burbank, CA, 90029-3274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245937036
Provider Name
Moonlight Alan
Credential
Provider Entity Type
Individual
Gender
Female
Address
3808 W Riverside Dr Ste 407, Burbank, CA, 90029-3274
Phone Number
213-218-9245
Fax Number
Provider Enumeration Date
02/13/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F08220387 01 CA OTHER INSURANCE
institution
Provider Business Practice Location Address Details
Address
3808 W Riverside Dr Ste 407
City
Burbank
State
California
Zip
91505-5301
Phone Number
213-218-9245
Fax Number
person
Provider Business Mailing Address Details
Address
3808 W Riverside Dr Ste 407
City
Burbank
State
California
Zip
91505-5301
Phone Number
213-218-9245
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95023700 (California)
Definition
Definition to come...
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