Individual
AMY CECELIA DETORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3333 BURNET, ML 2003, CINCINNATI, OH 45229
(513) 636-4432
(513) 636-3952
Mailing address
3333 BURNET AVE., ML2003, CINCINNATI, OH 45229-3026
(513) 636-4432
(513) 636-3952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.18447
OH
363LP0200X
Pediatric Nurse Practitioner
COA.18447-NP
OH
Other
Enumeration date
12/01/2015
Last updated
11/21/2017
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