Provider Demographics
NPI:1205230356
Name:ANDREWS, AMY (FNP-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ATTN: NICOLE KYNE
Mailing Address - Street 2:7835 PARAGON RD.
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4021
Mailing Address - Country:US
Mailing Address - Phone:937-436-4148
Mailing Address - Fax:937-434-1266
Practice Address - Street 1:10506 MONTGOMERY RD STE 402
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4489
Practice Address - Country:US
Practice Address - Phone:513-791-6161
Practice Address - Fax:513-791-4004
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH382482163W00000X
KY3010119363L00000X
OHCOA. 17479-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK199420Medicare PIN
KYK199420Medicare PIN