National Provider Identifier

Amanda Herbert

Amanda Herbert is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Tonawanda, NY and a listed phone number of (716) 715-4101.

NPI 1790046431Tonawanda, NYLicensed Practical Nurse

Profile Overview

NPI
1790046431
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 30, 2012
Last Updated
May 30, 2012

Practice Location

  • 393 Main St
  • Tonawanda, NY 14150-3815

Phone: (716) 715-4101

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1790046431
Entity Type
Individual
Last Name
Herbert
First Name
Amanda
Mailing Street Address
393 Main St
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-3815
Mailing Country
US
Mailing Phone
(716) 715-4101
Practice Street Address
393 Main St
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-3815
Practice Country
US
Practice Phone
(716) 715-4101
Enumeration Date
May 30, 2012
Last Updated
May 30, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)