Provider Demographics
NPI:1861943029
Name:CLAUNCH, AMY (APRN)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:CLAUNCH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:C335
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3751
Mailing Address - Country:US
Mailing Address - Phone:859-276-5355
Mailing Address - Fax:859-276-5372
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:C335
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-276-5355
Practice Address - Fax:859-276-5372
Is Sole Proprietor?:No
Enumeration Date:2016-10-21
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3010482363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3010482OtherAPRN LICENSE
KYF061620286OtherCERTIFICATION NUMBER FOR APRN