Individual
AMY M MIKUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
2971 GRAHAM RD, STOW, OH 44224-3619
(330) 688-7981
(330) 688-7469
Mailing address
2971 GRAHAM RD, STOW, OH 44224-3619
(330) 688-7981
(330) 688-7469
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
COA. 16284-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109397
—
OH
Enumeration date
08/28/2014
Last updated
02/06/2026
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