Individual provider · Type 1 NPI

Inna Aurelia Amaryllis, MD

Student in an Organized Health Care Education/Training Program · Flagstaff, AZ

NPI number 1316785652 Active

Practice location

2920 N 4th St
Flagstaff, AZ 86004-1816

Call (928) 522-9400 Map

Mailing address

2814 E 65th St
Indianapolis, IN 46220-2225

Other practice locations

  • 2814 E 65th St, Indianapolis, IN 46220-2225 · (574) 221-9828

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XR82087 (AZ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316785652

Inna Aurelia Amaryllis, MD's National Provider Identifier is 1316785652, issued on Jul 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flagstaff, AZ. The record was last updated on Jul 8, 2025.