Gillenwater, Amanda L

Gillenwater, Amanda L is an individual health care provider with primary practice located at 2159 Dogwood Ridge Rd , Wheelersburg OH 45694-9044. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Gillenwater, Amanda L can be contacted via phone (731) 394-1145.

Contact Information

Primary practice address
2159 Dogwood Ridge Rd Wheelersburg OH 45694-9044
Phone: (731) 394-1145
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.454549 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN.CNP.0027743 Ohio

Profile Details

NPI number 1649744384
LBN Legal business name Gillenwater, Amanda L
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2019
Last updated Oct 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 1649744384 NPPES
Ohio MEDICAID 0331807

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