Tamila Mustafaeva, AGACNP - BC - Nurse Practitioner in Glendale, CA

Tamila Mustafaeva, AGACNP - BC is a Nurse Practitioner based in Glendale, California. Tamila Mustafaeva is licensed to practice in California (license number 95029674) and her current practice location is 425 N Jackson St Apt 7, Glendale, California. She can be reached at her office (for appointments etc.) via phone at (818) 636-4770.

NPI number for Tamila Mustafaeva is 1043059769 and her current mailing address is 425 N Jackson St Apt 7, Glendale, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043059769.

Contact Information

Tamila Mustafaeva, AGACNP - BC
425 N Jackson St Apt 7,
Glendale, CA 91206-3277
(818) 636-4770
Not Available

Map and Direction




Provider's Profile

Full NameTamila Mustafaeva
GenderFemale
SpecialityNurse Practitioner
Location425 N Jackson St Apt 7, Glendale, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043059769
  • Provider Enumeration Date: 05/22/2024
  • Last Update Date: 06/21/2024

Medical Identifiers

Medical identifiers for Tamila Mustafaeva such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043059769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 95029674 (California)Secondary
363LA2200XNurse Practitioner - Adult Health 95029674 (California)Secondary
363LC0200XNurse Practitioner - Critical Care Medicine 95029674 (California)Secondary
363LG0600XNurse Practitioner - Gerontology 95029674 (California)Secondary
363L00000XNurse Practitioner 95029674 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tamila Mustafaeva is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tamila Mustafaeva, AGACNP - BC
425 N Jackson St Apt 7,
Glendale, CA 91206-3277

Ph: (818) 636-4770
Tamila Mustafaeva, AGACNP - BC
425 N Jackson St Apt 7,
Glendale, CA 91206-3277

Ph: (818) 636-4770

Reviews and Comments


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