Individual
AMY CONDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1860 WALNUT ST BLDG B, RED BLUFF, CA 96080-3611
(530) 527-8491
Mailing address
PO BOX 400, RED BLUFF, CA 96080-0400
(530) 527-8491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95192667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95192667
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
08/14/2019
Last updated
08/14/2019
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