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NPI Code Detail

MEDICARE: AMY MYERS BC-APRN, FNP

MEDICARE: AMY MYERS BC-APRN, FNP
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
1363L00000XNurse PractitionerCOA16376-NOOH

General Provider Information

NPI Number : 1730598962
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY MYERS BC-APRN, FNP
Provider Business Mailing Address
First Line : 716 TOD AVE SW
Second Line :
City : WARREN
State : OH
Zip : 44485-3608
Country : US
Telephone Number : 330-373-0222
Fax Number :
Provider Business Practice Location Address
First Line : 716 TOD AVE SW
Second Line :
City : WARREN
State : OH
Zip : 44485-3608
Country : US
Telephone Number : 330-373-0222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2014
Last Update Date : 03/16/2016

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