Individual
AMANDA G DURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7119 STATE ROUTE 7, KINSMAN, OH 44428-9788
(330) 876-2803
(330) 876-2813
Mailing address
8162 CORINTH COURT RD, FARMDALE, OH 44417-9745
(330) 240-6071
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
OH3325750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OH3325750
LICENSED SCHOOL NURSE
OH
Enumeration date
01/07/2022
Last updated
01/07/2022
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