Individual
AMANDA STRUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
631 E STATE ST, GEORGETOWN, OH 45121-1437
(937) 378-6387
(937) 378-4253
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 576-7700
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
021162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265006
—
OH
Enumeration date
02/21/2018
Last updated
05/14/2020
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