MISS Amanda M Hackney, LPN
NPI #1003591546 in Charleston, West Virginia
Provider Information
- NPI Number
- 1003591546
- Entity Type
- Individual
- Name
- MISS Amanda M Hackney, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jun 21, 2023
- Last Updated
- Jun 21, 2023
Practice Location
- Address
- 1614 RAVINIA RD
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25314-1846
- Phone
- (304) 859-0520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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