Individual
AMANDA CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6645 MORRIS RD, FAIRFIELD TOWNSHIP, OH 45011-5417
(513) 785-3700
(513) 785-3709
Mailing address
6645 MORRIS RD, FAIRFIELD TOWNSHIP, OH 45011-5417
(513) 785-3700
(513) 785-3709
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN.380382
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.02067
OH
Other
Enumeration date
11/30/2016
Last updated
11/25/2020
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