Individual
AMY M. PETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
1302 W MAIN ST, STE. A, LOUISVILLE, OH 44641-1114
(330) 875-5544
(330) 875-8150
Mailing address
1302 W MAIN ST, STE. A, LOUISVILLE, OH 44641-1114
(330) 875-5544
(330) 875-8150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA 13890-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073609
—
OH
Enumeration date
09/21/2012
Last updated
06/21/2016
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