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Amanda Marie Berry, LPN
Licensed Practical Nurse in Beaver, West Virginia
NPI 1093450942

Amanda Marie Berry is a Licensed Practical Nurse based in Beaver, WV. Amanda Marie Berry practices in Beaver, WV and has the professional credentials of LPN. The NPI Number for Amanda Marie Berry is 1093450942 and holds a License No. 83061 (West Virginia).

The current practice location address for Amanda Marie Berry is 175 Philpott Ln, Beaver, WV and can be reached out via phone at 304-254-9262 and via fax at 304-254-9263.

Location: 175 Philpott Ln, Beaver, WV, 25813-9501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093450942
Provider Name
Amanda Marie Berry
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
175 Philpott Ln, Beaver, WV, 25813-9501
Phone Number
304-254-9262
Fax Number
304-254-9263
Provider Enumeration Date
05/04/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83061 01 NC LPN
institution
Provider Business Practice Location Address Details
Address
175 Philpott Ln
City
Beaver
State
West Virginia
Zip
25813-9501
Phone Number
304-254-9262
Fax Number
304-254-9263
person
Provider Business Mailing Address Details
Address
175 Philpott Ln
City
Beaver
State
West Virginia
Zip
25813-9501
Phone Number
304-254-9262
Fax Number
304-254-9263
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
83061 (North Carolina)
Definition
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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