Anna Sofia Amezcua
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Eureka, CA
NPI 1336972124 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1336972124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 720 Wood St
Eureka, CA 95501-4413 - Phone
- (707) 268-2990
- NPI assigned
- Aug 26, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
720 Wood St
Eureka, CA 95501-4413
Mailing address
720 Wood St
Eureka, CA 95501-4413
Phone (707) 268-2990
Other providers in Eureka, CA
- Richard Albert Ambrosi
- Cynthia Louise Amen
- Kachaira Amen
- American Foot Comfort Center
- Robert Christopher Amerman
- Soheila Amin
- Madelin Amir
- Paula Lizette Amis
- Anthony Alexander Anagnostou
- Cherrie A Andersen
All providers in Eureka, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.