| NPI | 1235880170 |
|---|---|
| Former Name | AMANDA K MCCOOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.542303) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.542303) |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN.159898.MEDS-IV) | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2025-01-07 |