Individual
AMANDA BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2433 STATE ROUTE 131, GOSHEN, OH 45122-9446
(513) 335-5999
Mailing address
2433 STATE ROUTE 131, GOSHEN, OH 45122-9446
(513) 335-5999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN445086
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ABURROUGHS9
—
OH
Enumeration date
11/17/2020
Last updated
11/17/2020
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