Individual
AMANDA KAY CODLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-2260
Mailing address
868 JONATHAN LN, NEWARK, OH 43055-1714
(614) 203-7270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LE-00034558
OH
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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