Individual
AMY BETH HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 725-1000
Mailing address
642 BLACKBROOK RD, PAINESVILLE, OH 44077-1223
(440) 417-2153
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09181544
OH
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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