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

Elizabeth Mairla Landaverde, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1871475285

Elizabeth Mairla Landaverde, NURSEPRACTITIONER is a Nurse Practitioner in Northridge, California. Qualified in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

17075 Devonshire St Ste 201
Northridge, CA 91325-5407
Phone: (818) 923-5453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95036232 (CA)

Record details

NPI number1871475285
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 24, 2025
Last updated in NPPESAugust 2, 2025
Certification dateAugust 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Northridge