Individual
AMANDA MARIE FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
430 N BROADWAY ST, GREEN SPRINGS, OH 44836-9734
(419) 765-0008
Mailing address
430 N BROADWAY ST, GREEN SPRINGS, OH 44836-9734
(419) 765-0008
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.179116.MEDS-IV
OH
Other
Enumeration date
03/29/2025
Last updated
04/02/2025
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