Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Practitoner Family Practice

Organization Family Health Clinical Nurse Specialist · NPI 1053657098

My Practitoner Family Practice is a Family Health Clinical Nurse Specialist in Amelia, Ohio. Licensed in Ohio. Registered with an NPI since 2012.

Licensed in
OH
In the registry since
2012

Practice location Address checks out

2996 State Route 132
Amelia, OH 45102-2404
Phone: (513) 748-0874
Fax: (513) 322-7989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Health Clinical Nurse Specialist (primary) Taxonomy 364SF0001X · Licence COA.13223-NP (OH)

Record details

NPI number1053657098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Brock — Owner · (513) 748-0874
NPI enumeratedDecember 19, 2012
Last updated in NPPESJuly 19, 2013
Mailing address2996 State Route 132, Amelia, OH 45102-2404