Individual
MRS. AMY ANN HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4884 SALT WORKS RD, MEDINA, NY 14103-9520
(585) 590-1027
Mailing address
114 ELWOOD AVE, MEDINA, NY 14103-1306
(585) 318-4167
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
295677-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619115516
—
NY
Enumeration date
01/30/2009
Last updated
03/03/2021
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