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Individual

AMANDA LEIGH TARTAGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, ARNP, FNP-C

Contact information

Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
RN.352332
OH
163WX1500X
Ostomy Care Registered Nurse
RN.352332
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020013
OH

Other

Enumeration date
09/28/2016
Last updated
04/22/2020
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