Provider Demographics
NPI:1154169399
Name:MURIELLO, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:MURIELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4771 DERBY DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-3641
Mailing Address - Country:US
Mailing Address - Phone:440-213-0269
Mailing Address - Fax:
Practice Address - Street 1:4771 DERBY DR
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-3641
Practice Address - Country:US
Practice Address - Phone:440-213-0269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker