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Individual

AMY M. CISSELL

Active
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Individual

AMY M. CISSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5181P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000631045
ANTHEM - NHWM
KY
01
—
000051983Y
HUMANA - NHWM
KY
01
—
107785
SIHO - NHWM
KY
05
—
200928570
—
IN
01
—
2592936
CIGNA - NHWM
KY
01
—
3749683000
PASSPORT ADVTG - NHWM
KY
01
—
50026597
PASSPORT - NHWM
KY
05
—
7100071580
—
KY
01
—
P00948795
RAILROAD MEDICARE - KY - NHWM
KY
Enumeration date
07/02/2006
Last updated
10/13/2020
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