Individual
AMY EBBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6412 FRANKLIN BLVD, CLEVELAND, OH 44102-3153
(216) 281-0872
(216) 281-9721
Mailing address
2609 QUEENSTON RD, CLEVELAND HTS, OH 44118-4319
(216) 321-9847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10139
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2967571
—
OH
01
—
NP10139
LICENSE
OH
Enumeration date
09/28/2008
Last updated
05/27/2014
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