Individual
AMANDA BIRKOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4380 GLENDALE MILFORD RD, BLUE ASH, OH 45242-3706
(513) 793-5070
Mailing address
1241 BEECHWOOD PL, AMELIA, OH 45102-2643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.395978
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.022883
OH
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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