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Individual

MS. AMY KATHLEEN MOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNP

Contact information

Practice address
575 WESTAR XING STE 102, WESTERVILLE, OH 43082-7815
(614) 839-5555
Mailing address
575 WESTAR XING STE 102, WESTERVILLE, OH 43082-7815
(740) 334-7656

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.025167
OH

Other

Enumeration date
07/21/2019
Last updated
07/21/2019
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