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

TaxonomyCodeLicense
Specialist Primary 174400000XNone 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.