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Contact Information

AMANDA B WISECUP, CRNA
3535 SOUTHERN BLVD
KETTERING, OH45429-1221
 Phone: 937-293-8228
 Fax: 937-293-8229
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for AMANDA B WISECUP · (Female)

NPI Number 1952871717
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 12/04/2018
Last updated 12/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OH License # APRN.CRNA.019806
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • KETTERING MEDICAL CENTER - (Acute Care)
    3535 SOUTHERN BOULEVARD
    KETTERING, OH 45429
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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