Individual
AMANDA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 206-1180
Mailing address
237 WILLIAM HOWARD TAFT RD, 2ND FLOOR, CBO 2-3, CINCINNATI, OH 45219-2610
(513) 206-1180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN302986
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
NP-019707
OH
Other
Enumeration date
07/28/2016
Last updated
08/18/2016
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