Provider Demographics
NPI:1558776922
Name:MYERS-EISNAUGLE, AMY (FNP-BC, ACNS-BC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:MYERS-EISNAUGLE
Suffix:
Gender:F
Credentials:FNP-BC, ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 TOWNSHIP ROAD 391
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:OH
Mailing Address - Zip Code:43964-7987
Mailing Address - Country:US
Mailing Address - Phone:907-250-6590
Mailing Address - Fax:
Practice Address - Street 1:423 SOUTH ST
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-4806
Practice Address - Country:US
Practice Address - Phone:907-250-6590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK18942163W00000X
OHAPRN.CNP.0033414207Q00000X, 363LF0000X
AK1479364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health