# AMY M. CISSELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275562167
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 5181P | KY | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 10/13/2020

## 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 |