Amanda Jo Durbin, R.N.
Individual provider Active NPI Registered Nurse · Danville, OH
NPI 1629336201 · NPPES record last updated May 2, 2012
Key facts
- NPI
- 1629336201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 374494 (OH)
- Practice address
- 15435 Howard Danville Rd
Danville, OH 43014-9667 - Phone
- (740) 398-3262
- NPI assigned
- May 2, 2012
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 374494 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 374494 | OH | Yes |
Addresses
Primary practice location
15435 Howard Danville Rd
Danville, OH 43014-9667
Mailing address
15435 Howard Danville Rd
Danville, OH 43014-9667
Other names
- Miss Amanda Jo Matheny
Other providers in Danville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2012. 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.