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Amanda Vaughan Porter, CNP
Family Nurse Practitioner in Mason, Ohio
NPI 1720426356

Amanda Vaughan Porter is a Family Nurse Practitioner based in Mason, OH and is specialized in Family. Amanda Vaughan Porter practices in Mason, OH and has the professional credentials of CNP. The NPI Number for Amanda Vaughan Porter is 1720426356 and holds a License No. 2015006538 (Ohio).

The current practice location address for Amanda Vaughan Porter is 4075 Old Western Row Rd, Mason, OH and can be reached out via phone at 513-536-0232.

Location: 4075 Old Western Row Rd, Mason, OH, 45040-3104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720426356
Provider Name
Amanda Vaughan Porter
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
4075 Old Western Row Rd, Mason, OH, 45040-3104
Phone Number
513-536-0232
Fax Number
Provider Enumeration Date
06/05/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0085006 05 OH
institution
Provider Business Practice Location Address Details
Address
4075 Old Western Row Rd
City
Mason
State
Ohio
Zip
45040-3104
Phone Number
513-536-0232
Fax Number
person
Provider Business Mailing Address Details
Address
4075 Old Western Row Rd
City
Mason
State
Ohio
Zip
45040-3104
Phone Number
513-536-0232
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA.14532-NP (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2015006538 (Ohio)
Definition
Definition to come...
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