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General NPI Number Information
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NPI Number | 1063924843
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Entity Type | Individual
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Provider Name | AMY KAY FOLAND CRNA; RN
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Gender | Female
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 10800 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-3043
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Country | US
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Telephone | 951-353-4819
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Fax | 951-353-5080
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Provider Business Mailing Address
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Address Line | 28541 ERIDANUS DR
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City | MENIFEE
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State | CA
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Zip | 92586-3822
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Country | US
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Telephone | 951-378-1777
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 766462
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 95000803
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License Number State | CA
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