Individual
AMANDA M MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4045 BROOKDALE LN UNIT 7, DAYTON, OH 45440-4186
(715) 225-0332
Mailing address
4045 BROOKDALE LN UNIT 7, DAYTON, OH 45440-4186
(715) 225-0332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0035595
OH
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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