Individual
AMANDA ANN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7073 CLYO RD, CENTERVILLE, OH 45459-4816
(937) 435-5857
(937) 912-4960
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.14614-NP
OH
Other
Enumeration date
07/29/2013
Last updated
04/14/2017
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