Individual provider · Type 1 NPI

Amanda Irene Fultz

Licensed Practical Nurse · Enon, OH

NPI number 1609161389 Active

Practice location

6654 New Horizon Ave
Enon, OH 45323-1450

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN. 128204 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 1609161389

Amanda Irene Fultz's National Provider Identifier is 1609161389, issued on Jun 10, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Enon, OH. The record was last updated on Jun 10, 2011.