Provider Demographics
NPI:1518785328
Name:PAPAZYAN, MARINE ROSEMARY (LVN)
Entity type:Individual
Prefix:
First Name:MARINE
Middle Name:ROSEMARY
Last Name:PAPAZYAN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6441 DENNY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-2731
Mailing Address - Country:US
Mailing Address - Phone:818-943-4450
Mailing Address - Fax:
Practice Address - Street 1:13524 SHERMAN WAY
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2830
Practice Address - Country:US
Practice Address - Phone:818-786-3470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA743034164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse