| Ms Amanda Irene Fultz, | |
|
6654 New Horizon Ave, Enon, OH 45323-1450 | |
| (937) 450-5811 | |
| Not Available |
| Full Name | Ms Amanda Irene Fultz |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 6654 New Horizon Ave, Enon, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609161389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN. 128204 IV (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amanda Irene Fultz, 6654 New Horizon Ave, Enon, OH 45323-1450 Ph: (937) 450-5811 | Ms Amanda Irene Fultz, 6654 New Horizon Ave, Enon, OH 45323-1450 Ph: (937) 450-5811 |
Kristen M Grimm, LPN, EMT Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 Enon Xenia Pike, Enon, OH 45323 Phone: 937-864-7348 | |
Alicia Bendall, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7373 Dayton Springfield Rd, Enon, OH 45323 Phone: 937-340-7004 |