Livingston, Amy Marie

Livingston, Amy Marie is an individual health care provider with primary practice located at 4176 State Route 306 , Willoughby OH 44094-9203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Livingston, Amy Marie can be contacted via phone (440) 918-4690.

Contact Information

Primary practice address
4176 State Route 306 Willoughby OH 44094-9203
Fax: (440) 918-4694
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11970-NP Ohio

Profile Details

NPI number 1497056642
LBN Legal business name Livingston, Amy Marie
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2010
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497056642 NPPES
Ohio MEDICAID 3103171
Ohio Other RN 325805

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