Individual
AMANDA LEE MITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
13777 PEARL RD, STRONGSVILLE, OH 44136-4900
(866) 389-2727
Mailing address
17349 FOWLES RD, MIDDLEBURG HEIGHTS, OH 44130-6219
(440) 785-6204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.355713-COA1
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.14850-NP
OH
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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