IndividualActive
Amanda Wisecup, CRNA
NPI 1952871717 · Certified Registered Nurse Anesthetist · Kettering, OH
Provider details
- NPI number
- 1952871717
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- APRN.CRNA.019806 (OH)
Practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 293-8228
Fax: (937) 293-8229
Mailing address
102 Canterbury Dr
Dayton, OH 45429-1402
Registry dates
- Enumerated
- 2018-12-04
- Last updated
- 2024-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.