Individual
MS. AMANDA JANE HYSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2966 DUNFORD DR, COLUMBUS, OH 43221-4502
(614) 622-3415
Mailing address
2966 DUNFORD DR, COLUMBUS, OH 43221-4502
(614) 622-3415
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.120407
OH
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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