Pochedly, Amanda Lynn

Pochedly, Amanda Lynn is an sole proprietor health care provider with primary practice located at 2210 S Ridge Rd E , Ashtabula OH 44004-4459. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pochedly, Amanda Lynn can be contacted via phone (513) 834-7063.

Contact Information

Primary practice address
2210 S Ridge Rd E Ashtabula OH 44004-4459
Phone: (513) 834-7063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F345534-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.021255 Ohio

Profile Details

NPI number 1053825042
LBN Legal business name Pochedly, Amanda Lynn
Credentials MSN, APRN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2017
Last updated Jan 20th, 2021 - 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 1053825042 NPPES
Ohio MEDICAID 0332562

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