Individual provider · Type 1 NPI

Amanda Nicole Weise

Student in an Organized Health Care Education/Training Program · Ravenna, OH

NPI number 1053258319 Active

Practice location

6751 N Chestnut St
Ravenna, OH 44266-3903

Mailing address

34 Cortland Cir
Geneva, OH 44041-9135

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053258319

Amanda Nicole Weise's National Provider Identifier is 1053258319, issued on May 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ravenna, OH. The record was last updated on May 4, 2026.