Provider Demographics
NPI:1407113707
Name:DUPPS, AMY L (RN)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:L
Last Name:DUPPS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:FORTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:ML 4002
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-4649
Mailing Address - Fax:513-636-7743
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:ML 4002
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-4649
Practice Address - Fax:513-636-7743
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN286290163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics