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Amanda Rae Davis, NP-C
Adult Health Nurse Practitioner in Boardman, Ohio
NPI 1326460205

Amanda Rae Davis is an Adult Health Nurse Practitioner based in Boardman, OH and is specialized in Adult Health. Amanda Rae Davis practices in Boardman, OH and has the professional credentials of NP-C. The NPI Number for Amanda Rae Davis is 1326460205 and holds a License No. COA-15217 (Ohio).

The current practice location address for Amanda Rae Davis is 8401 Market St, Boardman, OH and can be reached out via phone at 330-729-4298 and via fax at 330-729-1897.

Location: 8401 Market St, Boardman, OH, 44512-6725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326460205
Provider Name
Amanda Rae Davis
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
8401 Market St, Boardman, OH, 44512-6725
Phone Number
330-729-4298
Fax Number
330-729-1897
Provider Enumeration Date
01/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0114514 05 OH
institution
Provider Business Practice Location Address Details
Address
8401 Market St
City
Boardman
State
Ohio
Zip
44512
Phone Number
330-729-4298
Fax Number
330-729-1897
person
Provider Business Mailing Address Details
Address
8401 Market St
City
Boardman
State
Ohio
Zip
44512
Phone Number
330-729-4298
Fax Number
330-729-1897
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
COA-15217 (Ohio)
Definition
Definition to come...
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