Provider Demographics
NPI:1962774935
Name:NARAYAN, AMI (FNP)
Entity type:Individual
Prefix:MRS
First Name:AMI
Middle Name:
Last Name:NARAYAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:AMI
Other - Middle Name:
Other - Last Name:LAKSHMINARAYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:CVS- MINUTE CLINIC
Mailing Address - Street 2:10 BAYHILL SHOPPING CENTER
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066
Mailing Address - Country:US
Mailing Address - Phone:650-873-9522
Mailing Address - Fax:
Practice Address - Street 1:10 BAYHILL SHOPPING CENTER
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066
Practice Address - Country:US
Practice Address - Phone:650-873-9522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19838363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner