| Doctor Name: | AMANDA STAMMLER DUNLEVY |
| NPI Number: | 1376876359 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 10967 |
| Business Practice Address: | 2532 E Main St Bexley, OH - 432092443 |
| Business Phone Number: | 6142353024 |
| Business Fax Number: | |
| Mailing Address: | 5108 Chipman Dr, COLUMBUS |
| State: | OH |
| Postal Code: | 432326299 |
| Phone Number: | 7404850906 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2009 |
| NPI Last Update Date: | 11/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 10967 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |