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Individual

AMBER WITTKORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP, MSN, BS, RN

Contact information

Practice address
3012 GLENMORE AVE STE 104, CINCINNATI, OH 45238-2258
(385) 202-6167
Mailing address
2622 MOORMAN AVE APT 3, CINCINNATI, OH 45206-2126

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN.CNP.024696
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4009
OH
Enumeration date
06/09/2019
Last updated
06/09/2019
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