Provider Demographics
NPI:1699581512
Name:NIHISER, AMANDA SUE (RN)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:SUE
Last Name:NIHISER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:SUE
Other - Last Name:ROWLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:961 GLENMORE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-2561
Mailing Address - Country:US
Mailing Address - Phone:740-258-8797
Mailing Address - Fax:
Practice Address - Street 1:961 GLENMORE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-2561
Practice Address - Country:US
Practice Address - Phone:740-258-8797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.490418163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse