Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Rae Brenner, FNP

Individual provider Family Nurse Practitioner · NPI 1790532604

Amanda Rae Brenner, FNP is a Nurse Practitioner in North Canton, Ohio. Qualified in 2023, 3 years ago. Practices with Proxy Healthcare LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

6461 Frank Ave NW
North Canton, OH 44720-8412
Phone: (330) 433-7770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0036342 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.0036342 (OH)

Record details

NPI number1790532604
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedApril 30, 2024
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address6461 Frank Ave Nw, North Canton, OH 44720-8412

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Proxy Healthcare Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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