| NPI | 1376016634 |
|---|---|
| Former Name | AMANDA N BISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033057) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008766A) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2025-10-02 |