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

Individual provider Acute Care Nurse Practitioner · NPI 1043059769

Tamila Mustafaeva, AGACNP-BC is a Nurse Practitioner in Glendale, California. Qualified in 2024, 2 years ago. Practices with Pulmonary Consultants and Wellness Center Inc PC, a 29-clinician group. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
Specialties on file
5
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Practice location Address checks out

425 N Jackson St Apt 7
Glendale, CA 91206-3277
Phone: (818) 636-4770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95029674 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 95029674 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 95029674 (CA)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence 95029674 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95029674 (CA)

Record details

NPI number1043059769
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pulmonary Consultants And Wellness Center Inc Pc — 29 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Glendale