Provider Demographics
NPI:1083398481
Name:BRINDA, AMY CAROLINE (APRN-CNP, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:CAROLINE
Last Name:BRINDA
Suffix:
Gender:F
Credentials:APRN-CNP, PMHNP-BC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:CAROLINE
Other - Last Name:AZBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5946 HERITAGE LAKES DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7618
Mailing Address - Country:US
Mailing Address - Phone:614-716-9510
Mailing Address - Fax:
Practice Address - Street 1:5946 HERITAGE LAKES DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7618
Practice Address - Country:US
Practice Address - Phone:614-716-9510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033974363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health