Individual
AMANDA DIANE EDMONDS
Active
Individual
AMANDA DIANE EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.022636
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.022636
OH
Other
Enumeration date
04/18/2018
Last updated
05/14/2021
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