Individual provider · Type 1 NPI
Amy Jean Petersen-Fox
Specialist · Novato, CA
NPI number
1720794241
Active
Practice location
653 Canyon Rd
Novato, CA 94947-4331
Mailing address
4300 Blank Rd
Sebastopol, CA 95472-6315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1720794241
Amy Jean Petersen-Fox's National Provider Identifier is 1720794241, issued on Jan 27, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Novato, CA. The record was last updated on Jan 27, 2023.