Individual
AMANDA EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 W 25TH ST, SUITE 1100, CLEVELAND, OH 44113-3108
(216) 363-2207
Mailing address
24651 CENTER RIDGE RD, SUITE 350, WESTLAKE, OH 44145-5635
(440) 895-5056
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.17550-NP
OH
Other
Enumeration date
06/29/2015
Last updated
07/07/2015
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