Individual
AMANDA M MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2600 TUSCARAWAS ST W STE 500, CANTON, OH 44708-4699
(330) 452-8858
(330) 452-8869
Mailing address
2600 TUSCARAWAS ST W STE 500, CANTON, OH 44708-4699
(330) 452-8858
(330) 452-8869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.11947-NP
OH
363LF0000X
Family Nurse Practitioner
COA.11947-NP
OH
Other
Enumeration date
01/06/2011
Last updated
10/21/2021
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