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AUDRIE ANNE PESIGAN BESOYAN
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1770043887
Individual Registrant: AUDRIE ANNE PESIGAN BESOYAN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1305 BEAR MOUNTAIN BLVD ARVIN, CA 93203-1231 US
Tel: 661-854-5859 Fax: 661-854-3738
Tel: 661-854-5859 Fax: 661-854-3738
Contact information for business:
1305 BEAR MOUNTAIN BLVD ARVIN, CA 93203-1231 US
Tel: 661-854-5859 Fax: 661-854-3738
Tel: 661-854-5859 Fax: 661-854-3738
Registration Information:
NPI: 1770043887
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95011170 |
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95011170 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
