Provider Demographics
NPI:1396489639
Name:HACIOGLU, FATMA (FNP)
Entity type:Individual
Prefix:MRS
First Name:FATMA
Middle Name:
Last Name:HACIOGLU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:ST LUKE MEDICAL CLINIC
Mailing Address - Street 2:5912 SANTA MONICA BLVD
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90038
Mailing Address - Country:US
Mailing Address - Phone:323-461-3888
Mailing Address - Fax:323-461-3250
Practice Address - Street 1:ST LUKE MEDICAL CLINIC
Practice Address - Street 2:5912 SANTA MONICA BLVD
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90038
Practice Address - Country:US
Practice Address - Phone:323-461-3888
Practice Address - Fax:323-461-3250
Is Sole Proprietor?:No
Enumeration Date:2022-04-22
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP95020555363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily