Amanda Renee Hale
Individual provider Active NPI Registered Nurse · Seville, OH
NPI 1801380712 · NPPES record last updated Oct 17, 2019
Key facts
- NPI
- 1801380712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.326242 (OH)
- Practice address
- 4652 Paradise Rd
Seville, OH 44273 - Phone
- (330) 933-0190
- NPI assigned
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.326242 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.326242 | OH | Yes |
Addresses
Primary practice location
4652 Paradise Rd
Seville, OH 44273
Mailing address
4652 Paradise Rd
Seville, OH 44273-9356
Phone (330) 933-0190
Other practice location 1
185 Meadowcreek Dr Unit B
Wadsworth, OH 44281-8913
Phone (330) 933-0190
Other providers in Seville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.