Individual provider · Type 1 NPI

Amanda Elizabeth Brunk, LPN

Licensed Practical Nurse · Fairborn, OH

NPI number 1164894580 Active

Practice location

4 W Dayton Yellow Springs Rd
Fairborn, OH 45324-3435

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.146639-M-IV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1164894580

Amanda Elizabeth Brunk, LPN's National Provider Identifier is 1164894580, issued on Oct 25, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fairborn, OH. The record was last updated on Oct 25, 2015.