Provider Demographics
NPI:1548551971
Name:STRAINER, AMITY LYNN (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:AMITY
Middle Name:LYNN
Last Name:STRAINER
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:AMITY
Other - Middle Name:LYNN
Other - Last Name:WILLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 CHARLES PL
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-2913
Mailing Address - Country:US
Mailing Address - Phone:440-487-8974
Mailing Address - Fax:
Practice Address - Street 1:2 CHARLES PL
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-2913
Practice Address - Country:US
Practice Address - Phone:330-980-0139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2020-08-02
Deactivation Date:2018-07-14
Deactivation Code:
Reactivation Date:2020-07-01
Provider Licenses
StateLicense IDTaxonomies
OHRN.351078163W00000X
OHAPRN.CNP.0026880363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse