Individual
DR. AMY ELIZABETH NEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3125 TRANSVERSE DR, TOLEDO, OH 43614-8008
(419) 383-3780
(419) 383-2023
Mailing address
3355 GLENDALE AVE FL 3, TOLEDO, OH 43614-2426
(419) 383-5322
(419) 383-6235
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901016874
MI
363A00000X
Physician Assistant
50.005039RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3244055
—
MI
01
—
J801645
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/16/2006
Last updated
10/05/2017
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