Individual
AMANDA KATHLEEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN PMHNP-BC
Contact information
Practice address
4302 ALLEN RD STE 420, STOW, OH 44224-1070
(330) 865-4644
(330) 865-4641
Mailing address
63 BAKER BLVD, FAIRLAWN, OH 44333-3601
(330) 572-0645
(330) 572-0645
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16668-NP
OH
Other
Enumeration date
12/04/2014
Last updated
12/08/2016
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