Provider Demographics
NPI:1841578127
Name:LITVIN, AMY LYNN (MS, RN, GNP-BC, CWCN)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LYNN
Last Name:LITVIN
Suffix:
Gender:F
Credentials:MS, RN, GNP-BC, CWCN
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:LYNN
Other - Last Name:KUO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RN, GNP-BC, CWCN
Mailing Address - Street 1:225 30TH ST - ON LOK LIFEWAYS
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131
Mailing Address - Country:US
Mailing Address - Phone:415-550-2232
Mailing Address - Fax:415-642-1135
Practice Address - Street 1:225 30TH ST - ON LOK LIFEWAYS
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131
Practice Address - Country:US
Practice Address - Phone:415-550-2232
Practice Address - Fax:415-642-1135
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20994363LG0600X, 363L00000X
CA689849163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse