Provider Demographics
NPI:1063830172
Name:NESTING, AMY C (CNM, MSN, RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:C
Last Name:NESTING
Suffix:
Gender:F
Credentials:CNM, MSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4649 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-1647
Mailing Address - Country:US
Mailing Address - Phone:916-425-6773
Mailing Address - Fax:
Practice Address - Street 1:4649 SUNSET DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-1647
Practice Address - Country:US
Practice Address - Phone:916-425-6773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA603178163WL0100X
CA235793367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant