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Individual

MS. AMY RAVEL TINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C, CPM , LM

Contact information

Practice address
6338 VISTA DEL MAR, PLAYA DEL REY, CA 90293-7540
(424) 835-4186
(310) 421-1414
Mailing address
6338 VISTA DEL MAR, PLAYA DEL REY, CA 90293-7540
(424) 835-4186
(310) 421-1414

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
661352
CA
163WM0102X
Maternal Newborn Registered Nurse
661352
CA
176B00000X
Midwife
LM254
CA
363LF0000X
Family Nurse Practitioner
Primary
95019865
CA

Other

Enumeration date
12/16/2009
Last updated
02/05/2024
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