Individual
AMANDA MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14210 SCOTTSLAWN RD, MARYSVILLE, OH 43041-0001
(937) 578-5555
(937) 578-2642
Mailing address
14210 SCOTTSLAWN RD, MARYSVILLE, OH 43041-0001
(937) 578-5555
(937) 578-2642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.15935-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106007
—
OH
Enumeration date
06/05/2014
Last updated
01/11/2024
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