Healthcare Provider Details

I. General information

NPI: 1578921854
Provider Name (Legal Business Name): AMY RIOS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2016
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2261 PHILADELPHIA DR SUITE 200
DAYTON OH
45406-1814
US

IV. Provider business mailing address

2261 PHILADELPHIA DR SUITE 200
DAYTON OH
45406-1814
US

V. Phone/Fax

Practice location:
  • Phone: 937-734-4141
  • Fax: 937-277-7249
Mailing address:
  • Phone: 937-734-4141
  • Fax: 937-277-7249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN327730
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: