Individual
AMANDA DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.461473
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437810
—
OH
Enumeration date
03/29/2021
Last updated
04/23/2021
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