Individual
AMANDA EMMALENE ROSE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2131 E STATE ST, ATHENS, OH 45701-2138
(855) 446-5937
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0036704
OH
Other
Enumeration date
06/25/2024
Last updated
07/30/2024
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