Basic Information
Provider Information
NPI: 1639518392
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AMAWI
FirstName: RANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: PO BOX 715385
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432715385
CountryCode: US
TelephoneNumber: 4408790081
FaxNumber: 4408790084
Practice Location
Address1: 400 WABASH AVE
Address2:  
City: AKRON
State: OH
PostalCode: 443072433
CountryCode: US
TelephoneNumber: 3303446000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/17/2013
LastUpdateDate: 06/17/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XNP-14157OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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