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Amanda Willis
NPI 1114586617 · on the registry since 2019
Practice
- Address
- 59 Grant St
Newark, OH 43055 - Phone
- (740) 349-7511
- Clinicians at this address
- 85
Additional practice sites
- 15 N 3rd St Ste 300, Newark, OH
- 5665 Hoover Rd, Grove City, OH
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio