Provider Demographics
NPI:1225224116
Name:NETT, AMY M (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:NETT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5510 BASELINE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA YNEZ
Mailing Address - State:CA
Mailing Address - Zip Code:93460-9347
Mailing Address - Country:US
Mailing Address - Phone:650-387-2572
Mailing Address - Fax:
Practice Address - Street 1:2948 SAN MARCOS AVE STE 204
Practice Address - Street 2:
Practice Address - City:LOS OLIVOS
Practice Address - State:CA
Practice Address - Zip Code:93441-4563
Practice Address - Country:US
Practice Address - Phone:805-364-4782
Practice Address - Fax:805-876-9052
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2024-10-29
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Provider Licenses
StateLicense IDTaxonomies
CAA104984208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice