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Individual

MS. LORETTA J. AMITRANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
544 W UMPQUA ST, SUITE 101, ROSEBURG, OR 97471
(541) 672-9596
(541) 464-3519
Mailing address
12900 PARK PLAZA DR, STE 150, CERRITOS, CA 90703-9329
(562) 977-4639
(526) 741-4479

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP2854
AZ
363LF0000X
Family Nurse Practitioner
111603
AZ
363LF0000X
Family Nurse Practitioner
200950086NP
OR
363LF0000X
Family Nurse Practitioner
F341031
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168395
OR
01
R103163
MEDICARE PART B
OR
Enumeration date
11/29/2007
Last updated
07/18/2018
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