Individual
AMANDA ADELE LISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8000
Mailing address
1577 NEIL AVE, COLUMBUS, OH 43201-2320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN467509
OH
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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