Provider Demographics
NPI:1891889036
Name:VALERIUS, AMY E (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:E
Last Name:VALERIUS
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8250 WINTON RD
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5916
Mailing Address - Country:US
Mailing Address - Phone:513-728-4763
Mailing Address - Fax:513-728-4762
Practice Address - Street 1:8250 WINTON RD
Practice Address - Street 2:SUITE # 103
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5916
Practice Address - Country:US
Practice Address - Phone:513-728-4763
Practice Address - Fax:513-728-4762
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN273634363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics