Individual
AMANDA L. ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
715 E WESTERN RESERVE RD FL 2, POLAND, OH 44514-3358
(330) 726-3204
(330) 306-8319
Mailing address
2 HOT METAL ST # 1N359, PITTSBURGH, PA 15203-2348
(412) 432-5869
(412) 647-4486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029502
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP019368
NURSE PRACTITIONER LICENSE
PA
Enumeration date
08/21/2018
Last updated
04/08/2024
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