Provider Demographics
NPI:1578309118
Name:TRAUTHWEIN, AMY
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:TRAUTHWEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:CALIHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8500 BILSTEIN BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45015-2218
Mailing Address - Country:US
Mailing Address - Phone:513-275-4273
Mailing Address - Fax:
Practice Address - Street 1:8500 BILSTEIN BLVD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45015-2218
Practice Address - Country:US
Practice Address - Phone:513-275-4273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH096348164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse