Healthcare Provider Details
I. General information
NPI: 1548551971
Provider Name (Legal Business Name): AMITY LYNN PATRONE MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/19/2011
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date: 07/14/2018
Reactivation Date: 07/01/2020
III. Provider practice location address
2 CHARLES PL
GIRARD OH
44420-2913
US
IV. Provider business mailing address
2 CHARLES PL
GIRARD OH
44420-2913
US
V. Phone/Fax
- Phone: 330-980-0139
- Fax:
- Phone: 440-487-8974
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN.351078 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | APRN.CNP.0026880 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: