AMANDA LYNN GRAHAM
NPI 1568061448
Licensed Practical Nurse in Winchester, VA

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since October 21, 2020

500 PEGASUS CT, WINCHESTER, VA 22602(540) 313-4699 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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Individual
Female
Licensed Practical Nurse

About AMANDA GRAHAM

This page provides the complete NPI Profile along with additional information for Amanda Graham, a provider established in Winchester, Virginia with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1568061448 assigned on October 2020. The practitioner's primary taxonomy code is 164W00000X with license number 29942 (WV). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI: 1568061448 Verify this NPI
Provider Name: AMANDA LYNN GRAHAM
Gender: Female
Entity Type: Individual
Location Address: 500 PEGASUS CT WINCHESTER, VA 22602
Location Phone: (540) 313-4699
Mailing Address: 500 PEGASUS CT WINCHESTER, VA 22602
Mailing Phone: (540) 313-4699
Is Sole Proprietor?: No
Enumeration Date: 10-21-2020
Last Update Date: 10-21-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Licensed Practical Nurse
Taxonomy Code: 164W00000X
Type: Nursing Service Providers
License No.: 29942
License State: WV
Taxonomy Description: A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.