Whalio Doctors

NPI 1003591546

Amanda M Hackney, LPN

Practitioner Licensed Practical Nurse Charleston, WV

Practice location

Address
1614 Ravinia Rd, Charleston, WV 25314-1846
Phone
(304) 859-0520

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 30005 (WV)

Registry record

NPI
1003591546
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Jun 2023
Record last updated
21 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.