Provider Demographics
NPI:1407248461
Name:LOUCAS, AMINA RACHEL (ARNP, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:AMINA
Middle Name:RACHEL
Last Name:LOUCAS
Suffix:
Gender:F
Credentials:ARNP, FNP-BC
Other - Prefix:MS
Other - First Name:AMINA
Other - Middle Name:
Other - Last Name:GRITSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2226 HUALAPAI MOUNTAIN RD
Mailing Address - Street 2:STE 101
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86401-8374
Mailing Address - Country:US
Mailing Address - Phone:305-807-1591
Mailing Address - Fax:
Practice Address - Street 1:4000 NE 170TH ST
Practice Address - Street 2:APT 105
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3138
Practice Address - Country:US
Practice Address - Phone:305-807-1591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-28
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9288080363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily