Ken Iven Bantol, PMHNP-BC
NPI #1841055811 in Granada Hills, California
Provider Information
- NPI Number
- 1841055811
- Entity Type
- Individual
- Name
- Ken Iven Bantol, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP-BC
- Enumeration Date
- Feb 19, 2024
- Last Updated
- Feb 19, 2024
Practice Location
- Address
- 10400 GLORIA AVE
- City
- Granada Hills
- State
- California
- ZIP Code
- 91344-7123
- Phone
- (818) 867-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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