Provider Demographics
NPI:1366334468
Name:HOVHANNISYAN, NORA (RN)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:HOVHANNISYAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18713 STONEHAVEN CT
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-1528
Mailing Address - Country:US
Mailing Address - Phone:818-730-0337
Mailing Address - Fax:818-514-1454
Practice Address - Street 1:18713 STONEHAVEN CT
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-1528
Practice Address - Country:US
Practice Address - Phone:818-730-0337
Practice Address - Fax:818-514-1454
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95114992163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse