Individual
AMY LEONE MICHELENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2219 S HACIENDA BLVD STE 101, HACIENDA HEIGHTS, CA 91745-4610
(626) 961-2461
(626) 330-5392
Mailing address
2219 S HACIENDA BLVD STE 101, HACIENDA HEIGHTS, CA 91745-4610
(626) 961-2461
(626) 330-5392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95019515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPF95019515
FURNISHING LICENSE
CA
Enumeration date
01/24/2022
Last updated
03/12/2023
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