Mccormick, Amanda Sue

Mccormick, Amanda Sue is an individual health care provider with primary practice located at 8401 Market St , Boardman OH 44512-6725. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mccormick, Amanda Sue can be contacted via phone (330) 729-2929.

Contact Information

Primary practice address
8401 Market St Boardman OH 44512-6725
Phone: (330) 729-2929
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN.CNP.16280 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.16280 Ohio

Profile Details

NPI number 1558767889
LBN Legal business name Mccormick, Amanda Sue
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2014
Last updated May 10th, 2018 - about 7 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 1558767889 NPPES
Ohio MEDICAID 0115869

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