Individual
AMANDA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
27843 STATE ROUTE 7, MARIETTA, OH 45750-9060
(740) 773-1141
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LE-00026100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LE-00026100
OHIO BON
OH
Enumeration date
04/23/2019
Last updated
04/23/2019
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