person
Amy Lynn Dusenberry, PA
Medical Physician Assistant in Encinitas, California
NPI 1972696813

Amy Lynn Dusenberry is a Medical Physician Assistant based in Encinitas, CA and is specialized in Medical. Amy Lynn Dusenberry practices in Encinitas, CA and has the professional credentials of PA. The NPI Number for Amy Lynn Dusenberry is 1972696813 and holds a License No. PA17340 (California).

The current practice location address for Amy Lynn Dusenberry is 332 Santa Fe Dr, Encinitas, CA and can be reached out via phone at 760-943-6700 and via fax at 760-632-4292.

Location: 332 Santa Fe Dr, Encinitas, CA, 92024-5143
person
Provider Profile Details
NPI Number
1972696813
Provider Name
Amy Lynn Dusenberry
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
332 Santa Fe Dr, Encinitas, CA, 92024-5143
Phone Number
760-943-6700
Fax Number
760-632-4292
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0093170 05 CA
03-0431018 01 CA TRI CARE
ZZZ04918Z 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
332 Santa Fe Dr
City
State
Zip
92024-5143
Phone Number
760-943-6700
Fax Number
760-632-4292
person
Provider Business Mailing Address Details
Address
332 Santa Fe Dr
City
State
Zip
92024-5143
Phone Number
760-943-6700
Fax Number
760-632-4292
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA17340 (California)
Definition
Definition to come...
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