Individual
AMY L EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
807 FARSON ST STE 210, BELPRE, OH 45714-1069
(740) 376-5000
Mailing address
416 COLEGATE DR BLDG 3, MARIETTA, OH 45750-9549
(740) 568-4814
(740) 374-3165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
41625
WV
363LF0000X
Family Nurse Practitioner
Primary
COA.06500-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000609675
ANTHEM
OH
05
—
2258766
—
OH
05
—
7101061000
—
WV
Enumeration date
03/24/2006
Last updated
05/01/2024
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