Provider Demographics
NPI:1053898924
Name:KNADJIAN-HINDIN, TAMAR LORI (RN, AGPCNP)
Entity type:Individual
Prefix:
First Name:TAMAR
Middle Name:LORI
Last Name:KNADJIAN-HINDIN
Suffix:
Gender:F
Credentials:RN, AGPCNP
Other - Prefix:
Other - First Name:TAMAR
Other - Middle Name:LORI
Other - Last Name:KNADJIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1019 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-2210
Mailing Address - Country:US
Mailing Address - Phone:818-244-4374
Mailing Address - Fax:
Practice Address - Street 1:1019 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-2210
Practice Address - Country:US
Practice Address - Phone:818-244-4374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95009559363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology