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AMANDA WILLS NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1720526379

Individual Registrant:
 AMANDA  WILLS NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
11110 KINSMAN RD SUITE 2 NEWBURY, OH 44065-8603 US
Tel: 440-564-7060  Fax: --

Contact information for business:
11110 KINSMAN RD SUITE 2 NEWBURY, OH 44065-8603 US
Tel: 440-564-7060  Fax: --

Registration Information:
NPI: 1720526379
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
OHRN.339016

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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