Judy B Wittenberg Bravard, CNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

S292576 Issued in CA

Practice address

11101 Venice Blvd
Los Angeles, CA 90034-6914

Phone

(310) 840-5755

Fax

(310) 218-5484

NPI assigned

Jun 30, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1962664136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 MICHELTORENA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262701",
            "telephone_number": "323-664-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346914",
            "telephone_number": "310-840-5755",
            "fax_number": "310-218-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENBERG BRAVARD",
        "first_name": "JUDY",
        "middle_name": "B",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "S292576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allise Ylianna Witt
• Amanda Kathleen Witte, MSN, ARNP
• Gabrielle Witte, LPCC
• Richard M Witten, M.D.
• Camden Lawrence Wittenauer
• David Aaron Wittenberg, D.C.
• Evans Wittenberg, LMFT
• Kevin Joel Wittenberg, PH.D.
• Naomi Witter
• Sarah Katherine Witter, PMHNP-BC

• Women's Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.