Llerenas, Michelle Basa
Llerenas, Michelle Basa is an sole proprietor health care provider with primary practice located at 757 Westwood Plz , Los Angeles CA 90095-8358. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Llerenas, Michelle Basa can be contacted via phone (310) 267-7565.Contact Information
Primary practice address
757 Westwood Plz
Los Angeles CA 90095-8358
Phone: (310) 267-7565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Neonatal Intensive Care | 163WN0002X | 759587 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 95022072 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 95022072 | California |
Profile Details
| NPI number | 1689293946 |
|---|---|
| LBN Legal business name | Llerenas, Michelle Basa |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2020 |
| Last updated | Jan 3rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689293946 | NPPES |
| California | Other | 759587 | BOARD OF REGISTERED NURSING |
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