Adams, Amanda Rachele

Adams, Amanda Rachele is an individual health care provider with primary practice located at 2222 Philadelphia Dr , Dayton OH 45406. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Adams, Amanda Rachele can be contacted via phone (937) 734-3501.

Contact Information

Primary practice address
2222 Philadelphia Dr Dayton OH 45406
Phone: (937) 734-3501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.020985 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN.CNP.020985 Ohio

Profile Details

NPI number 1144740010
LBN Legal business name Adams, Amanda Rachele
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2017
Last updated Nov 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144740010 NPPES
Ohio MEDICAID 0237262

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