Individual
MRS. AMY L WALWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
450B WASHINGTON JACKSON RD, SUITE 105, EATON, OH 45320-7600
(937) 456-8350
(937) 456-8351
Mailing address
450B WASHINGTON JACKSON RD, SUITE 105, EATON, OH 45320-7600
(937) 456-8350
(937) 456-8351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.14968
OH
363LF0000X
Family Nurse Practitioner
COA.14968NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098699
—
OH
Enumeration date
09/06/2013
Last updated
04/06/2022
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