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Individual

AMANDA KAY WORKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-4194
(513) 558-0995
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
316766
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
09877
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000550337
ANTHEM
05
200891830
IN
05
2857207
OH
01
617722
WELLCARE
KY
05
7100028700
KY
Enumeration date
01/22/2008
Last updated
06/07/2017
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