Individual
AMY SISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6007 BROOKSIDE RD, INDEPENDENCE, OH 44131-6303
(216) 214-1450
Mailing address
6007 BROOKSIDE RD, INDEPENDENCE, OH 44131-6303
(216) 214-1450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.331396
OH
163WA2000X
Administrator Registered Nurse
RN.331396
OH
163WC0400X
Case Management Registered Nurse
RN.331396
OH
163WG0000X
General Practice Registered Nurse
RN.331396
OH
163WH0200X
Home Health Registered Nurse
RN.331396
OH
163WP0200X
Pediatric Registered Nurse
RN.331396
OH
163WS0200X
School Registered Nurse
RN.331396
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.331396
RN LICENSE
OH
Enumeration date
03/22/2021
Last updated
03/22/2021
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