Amanda Irene Fultz
Licensed Practical Nurse · Enon, OH
Practice location
6654 New Horizon AveEnon, OH 45323-1450
- Phone
- (937) 450-5811
NPI record
- NPI
- 1609161389
- Entity type
- Individual (Type 1)
- Enumeration date
- June 10, 2011
- Last updated
- June 10, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
PN. 128204 IV | OH |
About Amanda Fultz
Amanda Irene Fultz is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 6654 New Horizon Ave, Enon, OH 45323-1450. The NPI number 1609161389 was assigned on June 10, 2011 and the record was last updated on June 10, 2011.
Amanda Fultz lists a license in the registry: #PN. 128204 IV (OH) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Amanda Irene Fultz?
The NPI number is 1609161389.
What is the phone number of Amanda Fultz?
The phone number listed for the practice location is (937) 450-5811.
Where is Amanda Fultz located?
6654 New Horizon Ave, Enon, OH 45323-1450.
What is the taxonomy code for Amanda Fultz?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Licensed Practical Nurse providers in Enon
- Kristen M. Grimm, LPN, EMT510 Enon Xenia Pike
- Alicia Bendall, LPN7373 Dayton Springfield Rd