Individual
AMANDA THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1005 BELLEFONTAINE AVE STE 100, LIMA, OH 45804-2871
(419) 227-5298
Mailing address
4352 MEADOWLANDS DR, LIMA, OH 45805-4524
(419) 302-4353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029966
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463845
—
OH
Enumeration date
10/13/2021
Last updated
05/20/2024
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