Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 95018544 | CA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 95018544 | CA |
NPI | 1235891953 |
---|---|
Provider Name | Dr. Maria F. Amos |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-1911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2021 |
Last Update Date | 31/01/2022 |