Individual
AMANDA SPIVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, A81, CLEVELAND, OH 44195-0001
(216) 636-5355
Mailing address
9500 EUCLID AVE, A81, CLEVELAND, OH 44195-0001
(216) 636-5355
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.020351
OH
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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