Individual provider · Type 1 NPI
Amy Elizabeth Waters, FNP-C
Family Nurse Practitioner · Los Angeles, CA
NPI number
1508404229
Active
Practice location
11620 Wilshire Blvd Ste 470
Los Angeles, CA 90025-1265
Mailing address
11620 Wilshire Blvd Ste 420
Los Angeles, CA 90025-1779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 95136868 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95013241 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508404229
Amy Elizabeth Waters, FNP-C's National Provider Identifier is 1508404229, issued on Dec 12, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 28, 2024.