Provider Demographics
NPI:1689225294
Name:KNITTEL, AMANDA (APRN, CNM)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:KNITTEL
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6127 GAREAU DR
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-4166
Mailing Address - Country:US
Mailing Address - Phone:440-318-4698
Mailing Address - Fax:
Practice Address - Street 1:29101 HEALTH CAMPUS DR STE 250
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5277
Practice Address - Country:US
Practice Address - Phone:440-827-5483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-25
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife