Individual
AMANDA LYNN MAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4020 MORSE XING, COLUMBUS, OH 43219-6037
(614) 472-8496
Mailing address
8996 BARLEY LOFT DR, COLUMBUS, OH 43240-6042
(614) 570-0944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0029105
OH
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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