| NPI | 1063937696 |
|---|---|
| Former Name | AMANDA PETERSON-BLEDSOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.021254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.391672) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-11-18 |