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Amy Luckett Enis, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Los Angeles, California
NPI 1194273565

Amy Luckett Enis is a Psychiatric/Mental Health Nurse Practitioner based in Houston, CA and is specialized in Psychiatric/Mental Health. Amy Luckett Enis practices in Los Angeles, CA and has the professional credentials of PMHNP. The NPI Number for Amy Luckett Enis is 1194273565 and holds a License No. AP141672 (California).

The current practice location address for Amy Luckett Enis is 12011 San Vicente Blvd Ste 305A, Los Angeles, CA and can be reached out via phone at 747-212-3876.

Location: 12011 San Vicente Blvd Ste 305A, Los Angeles, CA, 77091-5654
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Provider Profile Details
NPI Number
1194273565
Provider Name
Amy Luckett Enis
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
12011 San Vicente Blvd Ste 305A, Los Angeles, CA, 77091-5654
Phone Number
747-212-3876
Fax Number
Provider Enumeration Date
09/14/2016
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00026834 05 MS
institution
Provider Business Practice Location Address Details
Address
12011 San Vicente Blvd Ste 305A
City
State
Zip
90049-4944
Phone Number
747-212-3876
Fax Number
person
Provider Business Mailing Address Details
Address
12011 San Vicente Blvd Ste 305A
City
State
Zip
90049-4944
Phone Number
747-212-3876
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP141672 (Texas)
Definition
Definition to come...
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