Individual
AMANDA HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, ACNS-BC
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-0221
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
COA.13699-NS
OH
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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