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Individual

AMANDA R MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, CNP

Contact information

Practice address
6823 BRAMBLE AVE, CINCINNATI, OH 45227-3211
(513) 368-4126
(513) 440-1980
Mailing address
6823 BRAMBLE AVE, CINCINNATI, OH 45227-3211
(513) 368-4126
(513) 440-1980

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.14312
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F0712656
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0082802
OH
01
12517785
CAQH
Enumeration date
10/10/2012
Last updated
12/04/2025
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