Individual
AMANDA ELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 BELLEVUE AVE, CINCINNATI, OH 45219-3158
(513) 475-8900
(513) 475-8577
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.024442
OH
363LF0000X
Family Nurse Practitioner
Primary
CNP.024442
OH
Other
Enumeration date
04/18/2019
Last updated
11/20/2024
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