Provider Demographics
NPI:1003052408
Name:MOHLER, AMY DAWN (RN)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:DAWN
Last Name:MOHLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 WINDY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEW CONCORD
Mailing Address - State:OH
Mailing Address - Zip Code:43762-9697
Mailing Address - Country:US
Mailing Address - Phone:740-826-4148
Mailing Address - Fax:
Practice Address - Street 1:7720 WINDY RIDGE RD
Practice Address - Street 2:
Practice Address - City:NEW CONCORD
Practice Address - State:OH
Practice Address - Zip Code:43762-9697
Practice Address - Country:US
Practice Address - Phone:740-826-4148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN342760163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health