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MRS. AMANDA RACHELE ADAMS AG-ACNP

Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1144740010

Individual Registrant:
MRS. AMANDA RACHELE ADAMS AG-ACNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2222 PHILADELPHIA DR  DAYTON, OH 45406 US
Tel: 937-734-3501  Fax: --

Contact information for business:
3170 KETTERING BLVD BUILDING B, 3RD FLOOR MORAINE, OH 45439-1924 US
Tel: 937-991-3188  Fax: 937-223-9811

Registration Information:
NPI: 1144740010
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Acute Care
OHAPRN.CNP.020985
Y363LG0600XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
OHAPRN.CNP.020985

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0237262OH05




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