Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Rose Devirian

Individual provider Pediatric Nurse Practitioner · NPI 1083248942

Carly Rose Devirian is a Pediatric Nurse Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

808 W 58th St
Los Angeles, CA 90037-3632
Phone: (323) 541-1411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 95013513 (CA)

Record details

NPI number1083248942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2020
Last updated in NPPESJuly 10, 2020
Certification dateJuly 10, 2020

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