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Individual

AMANDA MICHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, AG-ACNP

Contact information

Practice address
200 MEDICAL CENTER DR, STE 180, MIDDLETOWN, OH 45005-5200
(513) 420-8030
(513) 425-7202
Mailing address
3050 MACK RD, STE 310, FAIRFIELD, OH 45014-5376
(513) 420-8030
(513) 425-7202

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.379433
OH
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.019344
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.019344
OH

Other

Enumeration date
07/07/2016
Last updated
10/11/2024
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