Individual
AMY BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4750 WESLEY AVE STE J, CINCINNATI, OH 45212-2276
(513) 531-5110
(513) 531-1327
Mailing address
4750 WESLEY AVE STE J, CINCINNATI, OH 45212-2276
(513) 531-5110
(513) 531-1327
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-138943-M-IV
OH
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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