Healthcare Provider Details

I. General information

NPI: 1285538124
Provider Name (Legal Business Name): AMANDA SCHMERGE BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 COLLEGE AVE
LIMA OH
45805-2025
US

IV. Provider business mailing address

816 COLLEGE AVE
LIMA OH
45805-2025
US

V. Phone/Fax

Practice location:
  • Phone: 419-996-3396
  • Fax: 419-996-3391
Mailing address:
  • Phone: 419-996-3396
  • Fax: 419-996-3391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberOH.309679
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: