MEDICARE: AMANDA R SPAW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.372008	OH

General Provider Information

NPI Number	:	1255297024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA R SPAW

Provider Business Mailing Address
First Line	:	100 CROWNE POINT PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-5427
Country	:	US
Telephone Number	:	513-743-7628
Fax Number	:

Provider Business Practice Location Address
First Line	:	6570 SOSNA DR
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-2222
Country	:	US
Telephone Number	:	513-942-4673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	12/24/2025

Similar Medicare Providers

1417003799 — DR. CAROLE STOKES-BREWER PHD, LISW, LPCC, LIC
Practice Location Address:

6580 SOSNA DR
FAIRFIELD, OH
45014-2222

Practice Phone: 513-889-0084
Practice Fax: 513-889-0084

1184747560 — DR. DAVID J GREENWALD PH.D.
Practice Location Address:

6580 SOSNA DR
FAIRFIELD, OH
45014-2222

Practice Phone: 513-942-3304
Practice Fax:

1538478052 — MRS. GINA M SMITH LPCC-SUPV
Practice Location Address:

6570 SOSNA DR
FAIRFIELD, OH
45014-2222

Practice Phone: 513-942-4673
Practice Fax: 513-737-1107

1093018061 — BENNEDICTA STUCKEY
Practice Location Address:

2222 ALBEMARLE DR
FAIRFIELD, OH
45014-4389

Practice Phone: 859-420-8318
Practice Fax:

1063780799 — DR. RICK LEE HUM M.D.
Practice Location Address:

6570 SOSNA DR
FAIRFIELD, OH
45014-2222

Practice Phone: 513-892-4673
Practice Fax: 513-860-1439

1578923181 — KIMBERLY BACK LISW-S
Practice Location Address:

6570 SOSNA DR STE 2
FAIRFIELD, OH
45014-2222

Practice Phone: 513-942-4673
Practice Fax: 135-737-1107

Directions to “ AMANDA R SPAW ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.