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MS. AMANDA IRENE FULTZ
NPI 1609161389
Licensed Practical Nurse in Enon, OH

Active since June 10, 2011
6654 NEW HORIZON AVE, ENON, OH 45323(937) 450-5811 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Amanda Irene Fultz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AMANDA IRENE FULTZ (NPI 1609161389) is an individual licensed practical nurse in Enon, Ohio, licensed in Ohio (PN. 128204 IV) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1609161389
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. AMANDA IRENE FULTZ
Location Address6654 NEW HORIZON AVEEnon, OH 45323-1450
Mailing Address6654 New Horizon AveEnon, OH 45323-1450 · (937) 450-5811
Phone(937) 450-5811
Sole ProprietorYes
Enumeration DateJune 10, 2011
✔ NPI 1609161389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN. 128204 IV
Definition
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.
6654 NEW HORIZON AVE, Enon, OH 45323
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Other Names 1

Other Name (5)Amanda Irene Kilgore Lpn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Fultz's NPI number?

The NPI number for Amanda Fultz is 1609161389. It was assigned to this individual provider in the NPPES registry on June 10, 2011. The provider is also known as Amanda Irene Kilgore Lpn.

Where is Amanda Fultz located?

Amanda Fultz practices at 6654 New Horizon Ave, Enon, OH 45323. The listed phone number is (937) 450-5811.

What is Amanda Fultz's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Amanda Fultz was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.