Mrs. Devona L. Bastiaans-Fagan
Nurse Practitioner - Acute Care
1225 Wilshire Blvd
Los Angeles
, California 90017-1901
Mrs. Devona L. Bastiaans-Fagan
Nurse Practitioner - Acute Care
1225 Wilshire Blvd
Los Angeles
, California 90017-1901
(818) 557-1394
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mrs. Devona L. Bastiaans-Fagan
- 520 N Central Ave Suite 750
- Glendale, CA
- Zip : 91203-1926
- Fax : (818) 557-1394
- Phone : (818) 557-0135
Second Address
- Mrs. Devona L. Bastiaans-Fagan
- 1225 Wilshire Blvd
- Los Angeles, CA
- Zip : 90017-1901
- Phone : (213) 977-2048
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FAQs
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Where did Mrs. Devona L. Bastiaans-Fagan do her fellowship?
Is Mrs. Devona L. Bastiaans-Fagan board certified?
What type of doctor is Mrs. Devona L. Bastiaans-Fagan
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Is Mrs. Devona L. Bastiaans-Fagan a sole practitioner?
Is Mrs. Devona L. Bastiaans-Fagan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 17793 | CA |
National Provider Identifier
| NPI | 1013167402 |
|---|---|
| Provider Name | Mrs. Devona L. Bastiaans-Fagan |
| First Address | Glendale, CA 91203-1926 |
| Second Address | Los Angeles, CA 90017-1901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2008 |
| Last Update Date | 12/01/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.