Individual
AMANDA MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
586 W MAIN ST, WILMINGTON, OH 45177-2123
(740) 505-5922
Mailing address
24865 US HIGHWAY 23 S STE A, CIRCLEVILLE, OH 43113-9189
(740) 505-5922
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.145573.MEDS-IV
OH
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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