Provider Demographics
NPI:1164749370
Name:HANDERMANN, AMY S (RN)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:S
Last Name:HANDERMANN
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 1:3871 BLOSSOM CT
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-4118
Mailing Address - Country:US
Mailing Address - Phone:513-314-7210
Mailing Address - Fax:513-754-1488
Practice Address - Street 1:3871 BLOSSOM CT
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-4118
Practice Address - Country:US
Practice Address - Phone:513-314-7210
Practice Address - Fax:513-754-1488
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN192109163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health