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Individual

AMANDA NICOLE NEWBURGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9221
Mailing address
3351 TIMBER RUN DR, COLUMBUS, OH 43204-4119
(614) 638-5017

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN.CNP.024964
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
APRN.CNP.024964
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0357150
OH
Enumeration date
06/14/2019
Last updated
04/25/2025
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