Individual
AMANDA VAUGHAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-0232
Mailing address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-0232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
COA.14532-NP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2015006538
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085006
—
OH
Enumeration date
06/05/2013
Last updated
12/19/2023
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