Individual
MRS. AMANDA RACHELE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
2222 PHILADELPHIA DR, DAYTON, OH 45406
(937) 734-3501
Mailing address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3874
(937) 723-4209
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.020985
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.020985
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0237262
—
OH
Enumeration date
06/22/2017
Last updated
10/29/2024
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