Provider Demographics
NPI:1194599183
Name:URBAYAN, CARMEN NAVEA (DNP, RN, CNS)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:NAVEA
Last Name:URBAYAN
Suffix:
Gender:F
Credentials:DNP, RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:9110 HUNTINGTON DR APT D
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91775-1369
Mailing Address - Country:US
Mailing Address - Phone:661-330-3397
Mailing Address - Fax:
Practice Address - Street 1:4867 W SUNSET BLVD FL 5
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5969
Practice Address - Country:US
Practice Address - Phone:323-783-4617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA755719163WP0200X
CA4279364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics