Individual
AMANDA MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1974 WALTON NICHOLSON PIKE, INDEPENDENCE, KY 41051-7906
(800) 805-6989
Mailing address
2805 ROSINA AVE, COVINGTON, KY 41015-1051
(859) 380-4223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2050460
KY
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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