IndividualActive
Amanda Tate
NPI 1134060452 · Registered Nurse · Newark, OH
Provider details
- NPI number
- 1134060452
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN.471290 (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
59 Grant St
Newark, OH 43055-3939
Phone: (740) 349-7511
Approximate (ZIP-level) locationGet directions
Mailing address
1801 Watermark Dr
Columbus, OH 43215-7088
Registry dates
- Enumerated
- 2026-04-02
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.