Provider Demographics
NPI:1861888745
Name:BRESSERT, AMIE RAE (CNP)
Entity type:Individual
Prefix:MRS
First Name:AMIE
Middle Name:RAE
Last Name:BRESSERT
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4657 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-1140
Mailing Address - Country:US
Mailing Address - Phone:513-207-0423
Mailing Address - Fax:
Practice Address - Street 1:10999 REED HARTMAN HWY
Practice Address - Street 2:SUITE 215
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-8331
Practice Address - Country:US
Practice Address - Phone:513-745-9320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.17248-NP363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology