Individual
AMANDA LANE HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
840 PATRIOT DR, WELLINGTON, OH 44090-8948
(440) 647-2225
(440) 647-5110
Mailing address
840 PATRIOT DR, WELLINGTON, OH 44090-8948
(440) 647-2225
(440) 647-5110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.17112-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127304
—
OH
Enumeration date
04/16/2015
Last updated
10/04/2021
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