NPI 1174289870

Amanda Renee Redfern

Practitioner Peer Specialist Mansfield, OH

Practice location

Address: 151 Marion Ave, Mansfield, OH 44903-2223
Phone: (419) 774-9969

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 0002844 (OH)

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Registry record

NPI: 1174289870
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2021
Record last updated: 17 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.