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Individual

MRS. AMANDA LYNN COTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2230 LYNN RD STE 200, THOUSAND OAKS, CA 91360-1900
(805) 495-1066
Mailing address
2965 HEAVENLY RIDGE ST, THOUSAND OAKS, CA 91362-1164
(805) 279-5669

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95029044
CA

Other

Enumeration date
02/09/2024
Last updated
02/09/2024
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