Clark, Amanda

Clark, Amanda is an sole proprietor health care provider with primary practice located at 2139 Auburn Ave , Cincinnati OH 45219-2906. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Clark, Amanda can be contacted via phone (513) 206-1180.

Contact Information

Primary practice address
2139 Auburn Ave Cincinnati OH 45219-2906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN302986 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP-019707 Ohio

Profile Details

NPI number 1215480900
LBN Legal business name Clark, Amanda
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2016
Last updated Aug 18th, 2016 - about 9 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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