Cynthia Louise Amen, RN

Individual provider Active NPI Child & Adolescent Psychiatric/Mental Health Registered Nurse · Eureka, CA

NPI 1114047339 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1114047339
Entity type
Individual (NPI type 1)
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X
License
535528 (CA)
Practice address
1711 3Rd St
Eureka, CA 95501-0714
Phone
(707) 268-2800
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
535528CAMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 535528 CA Yes
Psychiatric/Mental Health Registered Nurse 163WP0808X 535528 CA

Addresses

Primary practice location

1711 3Rd St
Eureka, CA 95501-0714

Mailing address

1711 3Rd St
Eureka, CA 95501-0714
Phone (707) 268-2800

Other providers in Eureka, CA

All providers in Eureka, CA · Child & Adolescent Psychiatric/Mental Health Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.