Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tizita Amde-Michael, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1578731147

Tizita Amde-Michael, CPNP is a Pediatric Nurse Practitioner in Los Angeles, California. Licensed in California and Wisconsin. Registered with an NPI since 2008.

Licensed in
CA, WI
In the registry since
2008
Specialties on file
4
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

600 St Paul Ave Ste 200
Los Angeles, CA 90017-2038
Phone: (213) 482-6400
Fax: (213) 482-6408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 17768 (CA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 17768 (CA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 661686 (CA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 4436 (WI)

Record details

NPI number1578731147
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedFebruary 15, 2008
Last updated in NPPESJanuary 8, 2016

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