Amanda Dawn Sites
Individual provider Active NPI School Registered Nurse · Shenandoah Junction, WV
NPI 1003087750 · NPPES record last updated Mar 20, 2008
Key facts
- NPI
- 1003087750
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 3178 (WV)
- Practice address
- 4141 Flowing Springs Rd
Shenandoah Junction, WV 25442-4712 - Phone
- (304) 725-8491
- NPI assigned
- Mar 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 3178 | WV | Yes |
Addresses
Primary practice location
4141 Flowing Springs Rd
Shenandoah Junction, WV 25442-4712
Mailing address
4141 Flowing Springs Rd
Shenandoah Junction, WV 25442-4712
Phone (304) 725-8491
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9705102000 | Medicaid | WV |
Other providers in Shenandoah Junction, WV
- Tiara Rose Moore
- Molly Glyn Reed
- Ana Maria Schau
- Maria Schau
- Tricia Anne Shumate
- Natalie Rene Slazer
- Rachael Lorinn Spencer
- Michael Jesse Verdugo
- Vital Wellness Counseling
- Shirley Raye White
All providers in Shenandoah Junction, WV · School Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.