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NPI Code Detail

MEDICARE: AMANDA SUTTON APRN CNP

MEDICARE: AMANDA SUTTON APRN CNP
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 Practitioner0032721OH

General Provider Information

NPI Number : 1922718949
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA SUTTON APRN CNP
Provider Business Mailing Address
First Line : 4605 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2607
Country : US
Telephone Number : 513-853-9700
Fax Number : 513-852-8967
Provider Business Practice Location Address
First Line : 4605 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2607
Country : US
Telephone Number : 513-853-9700
Fax Number : 513-852-8967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2022
Last Update Date : 12/13/2023

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Directions to “ AMANDA SUTTON APRN CNP” Practice Location

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