Individual
AMY ELIZABETH BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4739
Mailing address
1752 ALMOND AVE, WALNUT CREEK, CA 94596-4308
(925) 210-1934
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA1959
CA
Other
Enumeration date
01/10/2007
Last updated
12/30/2021
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