Individual
MRS. AMANDA MARIE MAROON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2351 STANLEY AVE, DAYTON, OH 45404-1201
(937) 228-0990
Mailing address
136 S LUDLOW ST, DAYTON, OH 45402-1813
(937) 499-8273
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.16506
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118674
—
OH
Enumeration date
10/01/2014
Last updated
06/01/2023
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