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NPI Code Detail

MEDICARE: AMANDA JOLEEN KADER RN

MEDICARE: AMANDA JOLEEN KADER RN
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
1163W00000XRegistered Nurse549701OH

General Provider Information

NPI Number : 1982578464
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA JOLEEN KADER RN
Provider Business Mailing Address
First Line : 301 E EMMITT AVE STE 1
Second Line :
City : WAVERLY
State : OH
Zip : 45690-1339
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 E EMMITT AVE STE 1
Second Line :
City : WAVERLY
State : OH
Zip : 45690-1339
Country : US
Telephone Number : 740-395-4937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2025
Last Update Date : 09/30/2025

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