Individual
AMY R MCCAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
560 N MAIN ST, MARION, OH 43302-2331
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN273181
OH
324500000X
Substance Abuse Rehabilitation Facility
—
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024125
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0352958
—
OH
01
—
RN273181
OHIO BOARD OF NURSING RN LICENSE
OH
Enumeration date
01/24/2019
Last updated
08/22/2024
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