Individual
AMANDA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-4393
(330) 543-4931
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-4930
(330) 543-4931
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704277745
MI
363L00000X
Nurse Practitioner
Primary
APRN.CNP.024539
OH
Other
Enumeration date
06/30/2015
Last updated
12/09/2020
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