Provider Demographics
NPI:1508873332
Name:MUSSER, AMY ELIZABETH (MSN, CNP, ACHPN)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:ELIZABETH
Last Name:MUSSER
Suffix:
Gender:F
Credentials:MSN, CNP, ACHPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 AKRON RD
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2518
Mailing Address - Country:US
Mailing Address - Phone:330-264-4899
Mailing Address - Fax:
Practice Address - Street 1:1900 AKRON RD
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2518
Practice Address - Country:US
Practice Address - Phone:503-707-2522
Practice Address - Fax:503-494-3495
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA NP-07512363LA2200X
OH07512363LF0000X
OR200770004CNS-PP364S00000X
OHAPRN.CNP.07512363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAPRN.CNP.07512OtherCNP LICENSE
OH2503580Medicaid
OHRN260839OtherNURSING LICENSE
OHMG4542228OtherDEA
ORMG1023136OtherDEA REGISTRATION NUMBER
OHRN260839OtherNURSING LICENSE
OR200740971RNOtherOREGON NURSING LICENSE- RN
OHNP-07512OtherCERTIFICATE OF AUTHORITY