Amie Alonzo Cohen, AGPCNP-BC
Individual provider Active NPI Nurse Practitioner · San Marino, CA
NPI 1548076995 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1548076995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95032921 (CA)
- Practice address
- 2705 Melville Dr
San Marino, CA 91108-2903 - Phone
- (626) 840-4601
- NPI assigned
- Dec 9, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95032921 | CA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95032921 | CA | Yes |
Addresses
Primary practice location
2705 Melville Dr
San Marino, CA 91108-2903
Mailing address
2705 Melville Dr
San Marino, CA 91108-2903
Phone (626) 840-4601
Other providers in San Marino, CA
- City of San Marino
- Claudia Rosenberg, PHD Licensed Clinical Social Worker PC
- Clinica Medica San Miguel Ipa, a Medical Group, Inc.
- Clinical Dietitian Solutions, LLC
- Sam Cohen Paz
- Melvin S Cohen
- Rebekah Ponce Cohen
- Louis Kenneth Countryman
- Ryan R Courdy
- Brandon V. Cuccia
All providers in San Marino, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 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.