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NPI Code Detail

MEDICARE: AMANDA STAMMLER DUNLEVY

MEDICARE: AMANDA STAMMLER DUNLEVY
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 Practitioner10967OH

General Provider Information

NPI Number : 1376876359
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA STAMMLER DUNLEVY
Provider Business Mailing Address
First Line : 2794 TUDOR RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43209-3004
Country : US
Telephone Number : 740-485-0906
Fax Number :
Provider Business Practice Location Address
First Line : 5925 CLEVELAND AVE STE A
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2209
Country : US
Telephone Number : 614-259-3760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2009
Last Update Date : 02/14/2019

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Directions to “ AMANDA STAMMLER DUNLEVY ” Practice Location

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