Individual
AMY MARGRETHE WILLATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM, NP
Contact information
Practice address
3451 E 12TH ST, OAKLAND, CA 94601-3463
(510) 535-4000
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-3655
(510) 535-4189
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
569208
CA
363LW0102X
Women's Health Nurse Practitioner
13379
CA
367A00000X
Advanced Practice Midwife
Primary
1559
CA
Other
Enumeration date
12/06/2006
Last updated
12/30/2021
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