Porter, Amanda Vaughan

Porter, Amanda Vaughan is an individual health care provider with primary practice located at 4075 Old Western Row Rd , Mason OH 45040-3104. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Porter, Amanda Vaughan can be contacted via phone (513) 536-0232.

Contact Information

Primary practice address
4075 Old Western Row Rd Mason OH 45040-3104
Phone: (513) 536-0232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2015006538 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.14532-NP Ohio

Profile Details

NPI number 1720426356
LBN Legal business name Porter, Amanda Vaughan
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2013
Last updated Dec 19th, 2023 - about last year

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 1720426356 NPPES
Ohio MEDICAID 0085006

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