Individual
AMANDA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 475-6523
Mailing address
3200 VINE ST, CINCINNATI, OH 45220-2213
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
16791
OH
Other
Enumeration date
12/18/2014
Last updated
07/05/2016
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