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Irina Bazavan, NP
Gerontology Nurse Practitioner in Novato, California
NPI 1932129707

Irina Bazavan is a Gerontology Nurse Practitioner based in Novato, CA and is specialized in Gerontology. Irina Bazavan practices in Novato, CA and has the professional credentials of NP. The NPI Number for Irina Bazavan is 1932129707 and holds a License No. 8749 (California).

The current practice location address for Irina Bazavan is 750 Grant Ave, Novato, CA and can be reached out via phone at 415-899-9800 and via fax at 415-899-9805.

Location: 750 Grant Ave, Novato, CA, 94945-7001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932129707
Provider Name
Irina Bazavan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
750 Grant Ave, Novato, CA, 94945-7001
Phone Number
415-899-9800
Fax Number
415-899-9805
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8749 01 CA NP LICENCE
RN3855290 05 CA
385529 01 CA RN LICENSE
institution
Provider Business Practice Location Address Details
Address
750 Grant Ave
City
Novato
State
California
Zip
94945-7001
Phone Number
415-899-9800
Fax Number
415-899-9805
person
Provider Business Mailing Address Details
Address
750 Grant Ave
City
Novato
State
California
Zip
94945-7001
Phone Number
415-899-9800
Fax Number
415-899-9805
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
8749 (California)
Definition
Definition to come...
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