Individual
AMY DIANE MORANVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPN
Contact information
Practice address
6075 DEERFIELD ST, DAYTON, OH 45414-2808
(937) 409-5378
Mailing address
6075 DEERFIELD ST, DAYTON, OH 45414-2808
(937) 409-5378
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
390169
OH
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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