Amanda Martinez

Individual provider Active NPI Licensed Practical Nurse · Paulding, OH

NPI 1275414906 · NPPES record last updated Sep 9, 2025

Key facts

NPI
1275414906
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN.142948 (OH)
Practice address
220 W Caroline St
Paulding, OH 45879-1258
Phone
(419) 371-1689
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
No

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.142948OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.142948 OH Yes

Addresses

Primary practice location

220 W Caroline St
Paulding, OH 45879-1258

Mailing address

220 W Caroline St
Paulding, OH 45879-1258
Phone (419) 371-1689

Other providers in Paulding, OH

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

Sources for this page

Verify at the official NPI Registry.