Nichols, Amanda E

Nichols, Amanda E is an individual health care provider with primary practice located at 30575 Bainbridge Rd Ste 300 , Solon OH 44139-2275. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nichols, Amanda E can be contacted via phone (440) 368-6868.

Contact Information

Primary practice address
30575 Bainbridge Rd Ste 300 Solon OH 44139-2275
Phone: (440) 368-6868
Fax: (440) 368-6866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 08915 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN293365 Ohio

Profile Details

NPI number 1154341741
LBN Legal business name Nichols, Amanda E
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 11th, 2021 - about 3 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 1154341741 NPPES
Indiana MEDICAID 200831990
Indiana MEDICAID 78017902
Indiana MEDICAID 2679463

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