Provider Demographics
NPI:1548670722
Name:KEIPPER, AMANDA LOUISE (CNP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LOUISE
Last Name:KEIPPER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 MORNING SUN RD STE B
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-9546
Mailing Address - Country:US
Mailing Address - Phone:513-524-5522
Mailing Address - Fax:513-664-3956
Practice Address - Street 1:5151 MORNING SUN RD STE B
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-9546
Practice Address - Country:US
Practice Address - Phone:513-524-5522
Practice Address - Fax:513-664-3956
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71005176A363LF0000X
OH15665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily