Individual
AMY R VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 585-5503
(513) 585-5511
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA11319NA
OH
367500000X
Certified Registered Nurse Anesthetist
RN.336317
OH
Other
Enumeration date
12/09/2009
Last updated
06/06/2017
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