Individual
AMANDA KATHLEEN MEIVOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4128 KIRTLAND RD, WILLOUGHBY, OH 44094-7924
(440) 463-6094
Mailing address
4128 KIRTLAND RD, WILLOUGHBY, OH 44094-7924
(440) 463-6094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
393452
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
0041606
OH
Other
Enumeration date
08/25/2008
Last updated
02/28/2026
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