Individual
AMANDA MICHELLE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 223-1650
Mailing address
829 STATE ROUTE 664 N, LOGAN, OH 43138-8540
(740) 684-2219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.152169.MEDS-IV
OH
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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