Individual
AMANDA LYNN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3893 E MARKET ST, WARREN, OH 44484-4706
(330) 856-4000
Mailing address
160 RUSSELL AVE, AUSTINTOWN, OH 44515-2020
(330) 881-0424
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP0036119
OH
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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