Provider Demographics
NPI:1992892822
Name:HARRISON, AMY NEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:NEVIN
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:369 SAN MIGUEL DR STE 375
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7847
Mailing Address - Country:US
Mailing Address - Phone:949-220-0510
Mailing Address - Fax:949-220-0509
Practice Address - Street 1:369 SAN MIGUEL DR STE 375
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7847
Practice Address - Country:US
Practice Address - Phone:949-220-0510
Practice Address - Fax:949-220-0509
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2024-02-06
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Provider Licenses
StateLicense IDTaxonomies
CAA1007282080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology