Individual
MS. AMANDA RENEE BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND CLINIC, G70, CLEVELAND, OH 44195-0001
(216) 444-6055
Mailing address
1440 MAILE AVE, LAKEWOOD, OH 44107-3315
(330) 990-1907
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.17341-NP
OH
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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