Provider Demographics
NPI:1649788076
Name:PIOTROWSKI, AMY (CRNA, RN)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:PIOTROWSKI
Suffix:
Gender:F
Credentials:CRNA, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 AVERY ST STE 501
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5192
Mailing Address - Country:US
Mailing Address - Phone:757-473-0055
Mailing Address - Fax:757-473-0075
Practice Address - Street 1:601 AVERY ST STE 501
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5192
Practice Address - Country:US
Practice Address - Phone:740-586-0881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-19
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH111844-23367500000X
PA120758367500000X
VA0024175836367500000X
WV118885367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered