Individual
MRS. AMANDA PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2107 ROMBACH AVE, WILMINGTON, OH 45177-2099
(937) 383-1040
Mailing address
7104 BERRINGER CT, MAINEVILLE, OH 45039-9111
(513) 317-4629
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0030078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.0030078
APRN ENDORSEMENT
OH
Enumeration date
10/27/2021
Last updated
10/27/2021
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