Individual
AMANDA ELYSE RUDNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
715 E WESTERN RESERVE RD, POLAND, OH 44514-3358
(330) 726-3204
(330) 729-9316
Mailing address
715 E WESTERN RESERVE RD, POLAND, OH 44514-3358
(330) 726-3204
(330) 729-9316
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.18485
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151502
—
OH
Enumeration date
11/02/2015
Last updated
10/11/2024
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