Individual provider · Type 1 NPI
Amie Marie Petrik
Licensed Practical Nurse · Canton, OH
NPI number
1205546215
Active
Practice location
733 Market Ave S
Canton, OH 44702-2165
Mailing address
410 18th St NW
Canton, OH 44703-1328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 159959 (OH) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1205546215
Amie Marie Petrik's National Provider Identifier is 1205546215, issued on Nov 30, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Canton, OH. The record was last updated on Nov 30, 2022.