NPI 1609421528 · live from the CMS NPI Registry
Amanda Bettis
Nurse Practitioner, Pediatrics in Streetsboro, OH. National Provider Identifier 1609421528, active.
NPI record
| NPI | 1609421528 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 899 Frost Rd, Streetsboro, OH 44241 |
| Practice phone | 330-963-8600 |
| Mailing address | 1927 Byron Dr, Brunswick, OH 44212 |
| Enumerated | August 7, 2019 |
| Last updated | August 7, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | APRN.CNP.025344 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.