Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | APRN.CNP.0028134 | OH |
NPI | 1073101135 |
---|---|
Provider Name | Amanda Reinert |
First Address | Mayfield Heights, OH 44124-2294 |
Second Address | Mayfield Heights, OH 44124-2203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2021 |
Last Update Date | 05/01/2021 |