Individual provider · Type 1 NPI

Amanda Rudolph, LPN

Licensed Practical Nurse · Huntington, WV

NPI number 1306568522 Active

Practice location

5187 US Route 60 Ste 13
Huntington, WV 25705-2076

Call (304) 733-5010 Map

Mailing address

5664 Fisher Bowen Branch Rd
Wayne, WV 25570-5917

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27095 (WV)

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 1306568522

Amanda Rudolph, LPN's National Provider Identifier is 1306568522, issued on Sep 14, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Huntington, WV. The record was last updated on Sep 14, 2022.