Provider Demographics
NPI:1871808212
Name:MCVAY, AMY ANN (CRNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:ANN
Last Name:MCVAY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:562 SHEARER ST
Mailing Address - Street 2:SUITE B100 FMC COMPREHENSIVE CKD SVCS, INC.
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2778
Mailing Address - Country:US
Mailing Address - Phone:724-832-8061
Mailing Address - Fax:
Practice Address - Street 1:562 SHEARER ST
Practice Address - Street 2:SUITE B 100
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2778
Practice Address - Country:US
Practice Address - Phone:724-832-8061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010804363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily