Provider Demographics
NPI:1427832724
Name:UNGER, ISABELLE ANTONIA (DNP, ARNP, FNP-C)
Entity type:Individual
Prefix:MS
First Name:ISABELLE
Middle Name:ANTONIA
Last Name:UNGER
Suffix:
Gender:F
Credentials:DNP, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6330 SAN VICENTE BLVD STE 408
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5462
Mailing Address - Country:US
Mailing Address - Phone:310-855-2229
Mailing Address - Fax:
Practice Address - Street 1:6330 SAN VICENTE BLVD STE 408
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5462
Practice Address - Country:US
Practice Address - Phone:310-855-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61476925363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily