Individual
AMANDA IRENE RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4589 KENNY RD STE E, COLUMBUS, OH 43220-2770
(614) 859-2288
(614) 750-1515
Mailing address
4589 KENNY RD STE E, COLUMBUS, OH 43220-2770
(614) 859-2288
(614) 750-1515
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10262
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2917802
—
OH
Enumeration date
09/19/2008
Last updated
07/21/2022
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