Provider Demographics
NPI:1669114518
Name:CHIRICHELLA, AMANDA KAREN (APRN)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:KAREN
Last Name:CHIRICHELLA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:KENDREW-MASOTTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:3423 CREED AVE
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-9735
Mailing Address - Country:US
Mailing Address - Phone:724-866-2898
Mailing Address - Fax:
Practice Address - Street 1:315 STRUTHERS LIBERTY RD STE 1
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:OH
Practice Address - Zip Code:44405-1973
Practice Address - Country:US
Practice Address - Phone:330-750-1333
Practice Address - Fax:330-750-0203
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025668363LF0000X
OHAPRN.CNP.0031166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily