Individual
AMANDA MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 E HIGH ST, SPRINGFIELD, OH 45505-1225
(937) 323-7340
Mailing address
1821 E HIGH ST, SPRINGFIELD, OH 45505-1225
(937) 323-7340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.332343-COA1
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.15229-NP
OH
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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