Provider Demographics
NPI:1629322458
Name:AUGERI, AMY MARIE (LPN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:AUGERI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 MILLER ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-1934
Mailing Address - Country:US
Mailing Address - Phone:937-279-7811
Mailing Address - Fax:
Practice Address - Street 1:513 MILLER ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-1934
Practice Address - Country:US
Practice Address - Phone:937-279-7811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-31
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH145588164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH145588OtherOHIO BOARD OF NURSING