Provider Demographics
NPI:1356106926
Name:CHOUNRAMANY, AMANDA CHRISTY
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:CHRISTY
Last Name:CHOUNRAMANY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 BRITTAIN RD # 1046
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-3605
Mailing Address - Country:US
Mailing Address - Phone:234-279-0821
Mailing Address - Fax:
Practice Address - Street 1:1502 BRITTAIN RD # 1046
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-3605
Practice Address - Country:US
Practice Address - Phone:234-279-0821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH427922163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse