Amanda Kaye Arnold

Individual provider Active NPI Licensed Practical Nurse · Lisbon, OH

NPI 1023806643 · NPPES record last updated Apr 25, 2025

Key facts

NPI
1023806643
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN.183401.MEDS.IV (OH)
Practice address
40722 State Route 154
Lisbon, OH 44432-8500
Phone
(330) 424-9573
Fax
(330) 424-0877
NPI assigned
Apr 25, 2025
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

State licenses

LicenseStateTypeSpecialty
LPN.183401.MEDS.IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.183401.MEDS.IV OH Yes

Addresses

Primary practice location

40722 State Route 154
Lisbon, OH 44432-8500

Mailing address

PO Box 429
Lisbon, OH 44432-0429

Other providers in Lisbon, OH

All providers in Lisbon, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.