Amanda Hupp
Individual provider Active NPI Registered Nurse · Bellaire, OH
NPI 1306386362 · NPPES record last updated Jun 25, 2020
Key facts
- NPI
- 1306386362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.444999 (OH)
- Practice address
- 4697 Harrison St
Bellaire, OH 43906-1338 - Phone
- (740) 968-7006
- Fax
- (740) 968-7256
- NPI assigned
- Feb 24, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.444999 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.444999 | OH | Yes |
Addresses
Primary practice location
4697 Harrison St
Bellaire, OH 43906-1338
Mailing address
4697 Harrison St
Bellaire, OH 43906-1338
Phone (740) 968-7006
Other practice location 1
302 W Main St
Saint Clairsville, OH 43950-8801
Phone (740) 968-7006
Other providers in Bellaire, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2020. 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.