Individual
CAROL A AMFAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
3700 SOUTHERN BLVD STE 401, KETTERING, OH 45429-1226
(855) 500-2873
(937) 281-3913
Mailing address
3700 SOUTHERN BLVD STE 401, KETTERING, OH 45429-1226
(855) 500-2873
(937) 281-3913
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.08082
OH
363LA2200X
Adult Health Nurse Practitioner
COA 08082 NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000363681
ANTHEM
OH
05
—
2543493
—
OH
Enumeration date
11/21/2006
Last updated
10/02/2018
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