National Provider Identifier

Amanda Fanton, LPN

Amanda Fanton, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Wellsville, NY and a listed phone number of (585) 802-9804.

NPI 1992201057Wellsville, NYLicensed Practical Nurse

Profile Overview

NPI
1992201057
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 05, 2018
Last Updated
June 16, 2018

Practice Location

  • 2851 McCurdy RD
  • Wellsville, NY 14895-9438

Phone: (585) 802-9804

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1992201057
Entity Type
Individual
Last Name
Fanton
First Name
Amanda
Credential
LPN
Mailing Street Address
2851 McCurdy RD
Mailing City
Wellsville
Mailing State
NY
Mailing ZIP Code
14895-9438
Mailing Country
US
Practice Street Address
2851 McCurdy RD
Practice City
Wellsville
Practice State
NY
Practice ZIP Code
14895-9438
Practice Country
US
Practice Phone
(585) 802-9804
Enumeration Date
April 05, 2018
Last Updated
June 16, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
792612539 (NY, Drivers License), 294389 (NY, LPN)