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Ms. Amanda Irene Fultz
Licensed Practical Nurse in Enon, Ohio
NPI 1609161389

Amanda Irene Fultz is a Licensed Practical Nurse based in Enon, OH. Amanda Irene Fultz practices in Enon, OH. The NPI Number for Amanda Irene Fultz is 1609161389 and holds a License No. PN. 128204 IV (Ohio).

The current practice location address for Amanda Irene Fultz is 6654 New Horizon Ave, Enon, OH and can be reached out via phone at 937-450-5811.

Location: 6654 New Horizon Ave, Enon, OH, 45323-1450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609161389
Provider Name
Amanda Irene Fultz
Credential
Provider Entity Type
Individual
Gender
Female
Address
6654 New Horizon Ave, Enon, OH, 45323-1450
Phone Number
937-450-5811
Fax Number
Provider Enumeration Date
06/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6654 New Horizon Ave
City
Enon
State
Ohio
Zip
45323-1450
Phone Number
937-450-5811
Fax Number
person
Provider Business Mailing Address Details
Address
6654 New Horizon Ave
City
Enon
State
Ohio
Zip
45323-1450
Phone Number
937-450-5811
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN. 128204 IV (Ohio)
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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