Individual
AMY ASHEROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
604 ROSE AVE, VENICE, CA 90291-2767
(310) 392-8636
(310) 392-6642
Mailing address
617 W 168TH ST, NEW YORK, NY 10032-3703
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95009115
CA
Other
Enumeration date
03/27/2017
Last updated
10/06/2021
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