Individual
AMANDA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 285-6000
Mailing address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 285-6000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN.334791
OH
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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