Individual
AMANDA WIPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
14734 S PERRY RD, LAURELVILLE, OH 43135-9708
(740) 577-6619
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN321584
OH
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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