Healthcare Provider Details

I. General information

NPI: 1811490204
Provider Name (Legal Business Name): AMANDA BHATI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2018
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 FARSON ST STE 204A
BELPRE OH
45714-1069
US

IV. Provider business mailing address

3194 CORE RD
PARKERSBURG WV
26104-1556
US

V. Phone/Fax

Practice location:
  • Phone: 740-423-3611
  • Fax: 740-423-3602
Mailing address:
  • Phone: 304-485-5185
  • Fax: 304-485-0051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.022924
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN84284
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN84284
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.022924
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: