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NPI Code Detail

MEDICARE: AMANDA NOEL BETTKER APRN

MEDICARE: AMANDA NOEL BETTKER APRN
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0039581OH
2363L00000XNurse PractitionerAPRN11037840FL

General Provider Information

NPI Number : 1790582500
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA NOEL BETTKER APRN
Provider Business Mailing Address
First Line : 1975 MIAMISBURG CENTERVILLE RD
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-3811
Country : US
Telephone Number : 937-439-6186
Fax Number :
Provider Business Practice Location Address
First Line : 1975 MIAMISBURG CENTERVILLE RD
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-3811
Country : US
Telephone Number : 937-439-6186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2025
Last Update Date : 02/03/2026

Similar Medicare Providers

1528060399 — DR. KENNETH BRIAN PUGAR D.O.
Practice Location Address:
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH
45459-3811
Practice Phone: 937-439-6186
Practice Fax: 937-439-9900
1033111802 — DR. TIMOTHY LEE SCHOONOVER D.O.
Practice Location Address:
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH
45459-3811
Practice Phone: 937-439-6186
Practice Fax: 937-439-9900
1285636050 — DR. MICHAEL JOHN VALLE D.O.
Practice Location Address:
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH
45459-3811
Practice Phone: 937-439-6186
Practice Fax: 937-439-9900
1245232024 — DR. PETRE UDREA M.D.
Practice Location Address:
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH
45459-3811
Practice Phone: 937-439-6186
Practice Fax: 937-439-9900
1487656260 — DR. SHARON SUSANNE MERRYMAN D.O.
Practice Location Address:
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH
45459-3811
Practice Phone: 937-439-6186
Practice Fax: 937-439-9900
1376535898 — DR. SCOTT ALAN MURRAY MD
Practice Location Address:
1975 MIAMISBURG CENTERVILLE RD
DAYTON, OH
45459-3811
Practice Phone: 937-439-6186
Practice Fax: 937-424-3005

Directions to “ AMANDA NOEL BETTKER APRN” Practice Location

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