Amanda Prince

Physician Assistant · Willoughby, OH

Individual Active NPI

NPI number 1972078483

Practice location

38882 Mentor Ave
Willoughby, OH 44094-7875
Phone
(440) 953-9999

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NPI record

NPI
1972078483
Entity type
Individual (Type 1)
Enumeration date
October 11, 2018
Last updated
October 11, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 50.005731RX OH

About Amanda Prince

Amanda Prince is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 38882 Mentor Ave, Willoughby, OH 44094-7875. The NPI number 1972078483 was assigned on October 11, 2018 and the record was last updated on October 11, 2018.

Amanda Prince lists a license in the registry: #50.005731RX (OH) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Prince?

The NPI number is 1972078483.

What is the phone number of Amanda Prince?

The phone number listed for the practice location is (440) 953-9999.

Where is Amanda Prince located?

38882 Mentor Ave, Willoughby, OH 44094-7875.

What is the taxonomy code for Amanda Prince?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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