Individual
MS. AMANDA N WINEHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY ROAD, SUITE 240, PLYMOUTH MEETING, PA 19462
(888) 701-2089
(610) 825-1604
Mailing address
350 E KING ST, DALLASTOWN, PA 17313-1812
(717) 779-8411
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN285885
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN285885
LPN LICENSE NUMBER
PA
Enumeration date
11/13/2014
Last updated
11/13/2014
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