Provider Demographics
NPI:1548396484
Name:TRUGLIO, AMY LYNN (LM, CPM)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LYNN
Last Name:TRUGLIO
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8381 HAYPORT RD APT 37
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-1753
Mailing Address - Country:US
Mailing Address - Phone:321-693-3910
Mailing Address - Fax:321-453-2270
Practice Address - Street 1:8381 HAYPORT RD APT 37
Practice Address - Street 2:
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-1753
Practice Address - Country:US
Practice Address - Phone:321-693-3910
Practice Address - Fax:321-453-2270
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW190175M00000X
OH491748163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No175M00000XOther Service ProvidersMidwife, Lay
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL340564800Medicaid