Roeder, Amanda L.

Roeder, Amanda L. is an individual health care provider with primary practice located at 715 E Western Reserve Rd Fl 2 , Poland OH 44514-3358. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roeder, Amanda L. can be contacted via phone (330) 726-3204.

Contact Information

Primary practice address
715 E Western Reserve Rd Fl 2 Poland OH 44514-3358
Phone: (330) 726-3204
Fax: (330) 306-8319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.0029502 Ohio

Profile Details

NPI number 1003396821
LBN Legal business name Roeder, Amanda L.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Apr 8th, 2024 - 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 1003396821 NPPES
Pennsylvania Other SP019368 NURSE PRACTITIONER LICENSE

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