Individual
AMY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, PNP-PC, CNS
Contact information
Practice address
1160 N WESTMORELAND AVE, LOS ANGELES, CA 90029-1909
(510) 912-2611
Mailing address
1160 N WESTMORELAND AVE, LOS ANGELES, CA 90029-1909
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95009538
CA
Other
Enumeration date
12/12/2018
Last updated
12/12/2018
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