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NPI Code Detail

MEDICARE: DEBORAH AMON RN, MSN, CNS-BC

MEDICARE: DEBORAH AMON RN, MSN, CNS-BC
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
1364SA2100XAcute Care Clinical Nurse SpecialistNS-09996OH
2364SA2200XAdult Health Clinical Nurse SpecialistNS-09996OH

General Provider Information

NPI Number : 1396063830
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH AMON RN, MSN, CNS-BC
Provider Business Mailing Address
First Line : PO BOX 1672
Second Line :
City : STOW
State : OH
Zip : 44224-0672
Country : US
Telephone Number : 330-361-0633
Fax Number :
Provider Business Practice Location Address
First Line : 29 N ADAMS ST
Second Line :
City : AKRON
State : OH
Zip : 44304-1641
Country : US
Telephone Number : 330-572-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2010
Last Update Date : 04/26/2018

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