| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMY LEONE MICHELENA | 1619629359 | 2023-03-12 |
Amy Leone Michelena is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1619629359. Registration indicates Amy Leone Michelena is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Amy Leone Michelena FNP |
| Other Provider Name | Amy Richins |
| Practice Office Address | 2219 S HACIENDA BLVD STE 101 HACIENDA HEIGHT, CA US |
| Practice Office Telephone | 6269612461 |
| Practice Office Fax | 6263305392 |
| Mailing Address | 2219 S HACIENDA BLVD STE 101 HACIENDA HEIGHTS, CA 917454610 US |
| Business Telephone | 6269612461 |
| Business Fax | 6263305392 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | NP95019515
CA |
| NPF95019515 | OTHER | CA | FURNISHING LICE |