Individual
AMY C NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
5757 PLAZA DR, CYPRESS, CA 90630-5000
(877) 842-3210
Mailing address
5757 PLAZA DR, CYPRESS, CA 90630-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7854-33
WI
363L00000X
Nurse Practitioner
95008548
CA
363LP2300X
Primary Care Nurse Practitioner
7854-33
WI
Other
Enumeration date
09/12/2017
Last updated
05/19/2022
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