Individual
AMY ELIZABETH WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11620 WILSHIRE BLVD STE 470, LOS ANGELES, CA 90025-1265
(424) 256-0272
Mailing address
11620 WILSHIRE BLVD STE 420, LOS ANGELES, CA 90025-1779
(424) 256-0272
(424) 389-3797
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95136868
CA
363LF0000X
Family Nurse Practitioner
Primary
95013241
CA
Other
Enumeration date
12/12/2019
Last updated
10/28/2024
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