MEDICARE: MS. AMY LYNN KORUNA-BARHORST R.N, N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN-CNP-07502	OH

General Provider Information

NPI Number	:	1548406358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY LYNN KORUNA-BARHORST R.N, N.P.

Provider Business Mailing Address
First Line	:	1550 OLD HENDERSON RD
Second Line	:	ST. N133
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3626
Country	:	US
Telephone Number	:	614-326-0902
Fax Number	:	614-326-0903

Provider Business Practice Location Address
First Line	:	1550 OLD HENDERSON RD
Second Line	:	ST. N133
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3626
Country	:	US
Telephone Number	:	614-326-0902
Fax Number	:	614-326-0903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2008
Last Update Date	:	10/12/2016

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