Wolf, Amanda Michelle

Wolf, Amanda Michelle is an individual health care provider with primary practice located at 125 Dons Way , Hot Springs AR 71913-3423. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wolf, Amanda Michelle can be contacted via phone (501) 624-7111.

Contact Information

Primary practice address
125 Dons Way Hot Springs AR 71913-3423
Phone: (501) 624-7111
Fax: (501) 620-5109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X L31539 Arkansas

Profile Details

NPI number 1104893718
LBN Legal business name Wolf, Amanda Michelle
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Feb 17th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104893718 NPPES
Arkansas MEDICAID 211456002
Arkansas MEDICAID 116399726

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