Provider Demographics
NPI:1396063830
Name:AMON, DEBORAH (RN, MSN, CNS-BC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:AMON
Suffix:
Gender:F
Credentials:RN, MSN, CNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1672
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-0672
Mailing Address - Country:US
Mailing Address - Phone:330-361-0633
Mailing Address - Fax:
Practice Address - Street 1:29 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1641
Practice Address - Country:US
Practice Address - Phone:330-572-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNS-09996364SA2100X, 364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care