Paula Lizette Amis, RN

Individual provider Active NPI Registered Nurse · Eureka, CA

NPI 1962141523 · NPPES record last updated Jun 1, 2022

Key facts

NPI
1962141523
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
752071 (CA)
Practice address
2200 Tydd St
Eureka, CA 95501-1284
Phone
(707) 441-1624
Fax
(707) 441-1253
NPI assigned
Jun 1, 2022
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
752071CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 752071 CA Yes

Addresses

Primary practice location

2200 Tydd St
Eureka, CA 95501-1284

Mailing address

1275 8TH St
Arcata, CA 95521-5770

Other providers in Eureka, CA

All providers in Eureka, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.