Healthcare Provider Details

I. General information

NPI: 1548396484
Provider Name (Legal Business Name): AMY LYNN TRUGLIO L.M., C.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/09/2021
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8381 HAYPORT RD APT 37
WHEELERSBURG OH
45694-1753
US

IV. Provider business mailing address

8381 HAYPORT RD APT 37
WHEELERSBURG OH
45694-1753
US

V. Phone/Fax

Practice location:
  • Phone: 321-693-3910
  • Fax: 321-453-2270
Mailing address:
  • Phone: 321-693-3910
  • Fax: 321-453-2270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175M00000X
TaxonomyLay Midwife
License NumberMW190
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number491748
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: