Mrs. Amanda Lynne Clark
Nurse Practitioner - Neonatal (Critical Care)
700 Childrens Dr Nicu
Columbus
, Ohio 43205-2664
Mrs. Amanda Lynne Clark
Nurse Practitioner - Neonatal (Critical Care)
700 Childrens Dr Nicu
Columbus
, Ohio 43205-2664
(614) 722-4772
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Mrs. Amanda Lynne Clark
- 700 Childrens Dr Nicu
- Columbus, OH
- Zip : 43205-2664
- Fax : (614) 722-4772
- Phone : (614) 722-6510
Second Address
- Mrs. Amanda Lynne Clark
- 700 Childrens Dr Nicu
- Columbus, OH
- Zip : 43205-2664
- Fax : (614) 722-4772
- Phone : (614) 722-6510
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 317077 | OH |
National Provider Identifier
| NPI | 1174769210 |
|---|---|
| Provider Name | Mrs. Amanda Lynne Clark |
| First Address | Columbus, OH 43205-2664 |
| Second Address | Columbus, OH 43205-2664 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2008 |
| Last Update Date | 19/12/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.