Provider Demographics
NPI:1508063538
Name:SINGER, AMANDA LEIGH (NP)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LEIGH
Last Name:SINGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4302 ALLEN RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-1032
Mailing Address - Country:US
Mailing Address - Phone:330-945-9551
Mailing Address - Fax:330-945-9920
Practice Address - Street 1:4302 ALLEN RD
Practice Address - Street 2:SUITE 300
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1032
Practice Address - Country:US
Practice Address - Phone:330-945-9551
Practice Address - Fax:330-945-9920
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-08229363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2815985Medicaid
OHP01071259OtherMEDICARE RAILROAD
OHH024150Medicare PIN