Individual
AMANDA MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2643
(937) 208-6173
(937) 208-3843
Mailing address
PO BOX 933488, CLEVELAND, OH 44193-0040
(937) 660-6211
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0021050
OH
Other
Enumeration date
05/28/2024
Last updated
01/21/2025
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