Provider Demographics
NPI:1982298329
Name:KUCHARSKI, AMY LYNN (CD(DONA), HCHD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:KUCHARSKI
Suffix:
Gender:F
Credentials:CD(DONA), HCHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3955 HIDDEN ACRES CIR N
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-7138
Mailing Address - Country:US
Mailing Address - Phone:239-443-7702
Mailing Address - Fax:
Practice Address - Street 1:3955 HIDDEN ACRES CIR N
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-7138
Practice Address - Country:US
Practice Address - Phone:239-443-7702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374J00000X374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula