National Provider Identifier

Amanda Jo Hastings, LPN

Amanda Jo Hastings, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Fairport, NY and a listed phone number of (585) 957-6425.

NPI 1245086883Fairport, NYLicensed Practical Nurse

Profile Overview

NPI
1245086883
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 25, 2024
Last Updated
April 25, 2024

Practice Location

  • 41 Oconnor RD
  • Fairport, NY 14450-1327

Phone: (585) 957-6425

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1245086883
Entity Type
Individual
Last Name
Hastings
First Name
Amanda
Middle Name
Jo
Credential
LPN
Mailing Street Address
41 Oconnor RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1327
Mailing Country
US
Mailing Phone
(585) 957-6425
Practice Street Address
41 Oconnor RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1327
Practice Country
US
Practice Phone
(585) 957-6425
Enumeration Date
April 25, 2024
Last Updated
April 25, 2024
Sex
Female
Sole Proprietor
No
Certification Date
April 25, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)