Amanda Buckhalter, LPN
Licensed Practical Nurse in Longview, WA. Individual provider (NPI-1).
NPI number1417469677
StatusActive
Last updated in NPPESOct 27, 2017
Details
- NPI
- 1417469677
- Entity type
- Individual (NPI-1)
- Name
- Amanda Buckhalter
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2017
- Last updated
- Oct 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP00052833 | WA | Yes |
Other names
- Amanda Longtain (Former Name)
Practice location
921 14th AveLongview, WA 98632-2316
Phone 360-423-0203 · Fax 360-423-2311
Mailing address
921 14th AveLongview, WA 98632-2316
Phone 360-423-0203 · Fax 360-423-2311
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All 21 Licensed Practical Nurse providers in Longview · All 2,229 providers in Longview
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