Individual
AMANDA A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3705 OLENTANGY RIVER RD, SUITE 100, COLUMBUS, OH 43214-3467
(614) 262-6772
(614) 262-0435
Mailing address
DEPT L3210, COLUMBUS, OH 43260-3210
(614) 265-2921
(614) 262-7074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10329-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3028566
—
OH
Enumeration date
01/28/2010
Last updated
06/21/2023
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