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Individual

AMY G FAMINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
131 STONY CIR STE 1600, SANTA ROSA, CA 95401-9520
(707) 541-7800
(707) 573-5420
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 541-7800
(707) 573-5420

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
683686
CA
363LF0000X
Family Nurse Practitioner
ATP-000307
AR
363LP0200X
Pediatric Nurse Practitioner
683686
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
683686
NP LICENSE
CA
Enumeration date
10/18/2010
Last updated
11/03/2022
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