Individual
AMY WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11235 BUTTERNUT RD, CHARDON, OH 44024-9326
(440) 749-0694
Mailing address
11235 BUTTERNUT RD, CHARDON, OH 44024-9326
(440) 749-0694
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 149821
OH
Other
Enumeration date
09/14/2012
Last updated
01/29/2024
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