IndividualActive
Archana Mazra, NP
NPI 1962204685 · Gerontology Nurse Practitioner · Tarzana, CA
Provider details
- NPI number
- 1962204685
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 95034482 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5411 Etiwanda Ave Ste 100
Tarzana, CA 91356-6159
Phone: (818) 757-8839
Approximate (ZIP-level) locationGet directions
Mailing address
16550 Knollwood Dr
Granada Hills, CA 91344-1843
Registry dates
- Enumerated
- 2025-03-25
- Last updated
- 2025-03-25
- Certified
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.