Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKIA AIVAZE
ActiveMIKIA AIVAZE is a Wound Care Nurse healthcare provider located in PORTER RANCH, California. NPI 1508689779 is currently active in the NPPES registry. Verify at CMS.
Wound Care Nurse · PORTER RANCH, CA
Registration Details
- NPI Number
- 1508689779
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 5, 2024 (1.8033964780333 yrs)
- Last Updated
- Nov 5, 2024
- License
-
00000000 (CA)
Practice Information
- Address
-
19331 PINE VALLEY AVEPORTER RANCH, CA, 913261403Browse CA providers · Browse ZIP 91326
- Phone
- 8189343463
- Primary Specialty
-
Wound Care Nurse
163WW0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.