IndividualActive
Mikia Aivaze
NPI 1508689779 · Wound Care Registered Nurse · Porter Ranch, CA
Provider details
- NPI number
- 1508689779
- Entity type
- Individual
- Primary specialty
- Wound Care Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 00000000 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
19331 Pine Valley Ave
Porter Ranch, CA 91326-1403
Phone: (818) 934-3463
Approximate (ZIP-level) locationGet directions
Mailing address
19331 Pine Valley Ave
Porter Ranch, CA 91326-1403
Registry dates
- Enumerated
- 2024-11-05
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.