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Individual

AMY B SHEFFTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(916) 764-7059
Mailing address
PO BOX 1179, SODA SPRINGS, CA 95728-1179
(916) 764-7059

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
742075
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21027
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21027
CALIFORNIA BOARD OF NURSING
CA
01
742075
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
07/19/2010
Last updated
01/11/2022
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