Individual
AMANDA MARIE NARDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504
(330) 480-3658
(330) 480-3439
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000211
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086522
—
OH
01
—
H215400
MEDICARE PTAN
OH
Enumeration date
06/25/2013
Last updated
09/04/2018
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