Individual
AMY OMORUYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2278 HARMONY DR, XENIA, OH 45385-4877
(301) 213-2323
Mailing address
7992 MISTY SHORE DR, WEST CHESTER, OH 45069-9649
(301) 213-2323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.468857
OH
164W00000X
Licensed Practical Nurse
PN132368
OH
Other
Enumeration date
03/01/2011
Last updated
01/04/2023
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