IndividualActive
Amanda Anderson, LPN
NPI 1104661453 · Licensed Practical Nurse · Federal Way, WA
Provider details
- NPI number
- 1104661453
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- LP61246095 (WA)
Specialties & taxonomies
Nursing Service Providers
Practice location
909 S 336th St Ste 100
Federal Way, WA 98003-7394
Phone: (253) 661-5166
Approximate (ZIP-level) locationGet directions
Mailing address
909 S 336th St Ste 100
Federal Way, WA 98003-7394
Registry dates
- Enumerated
- 2024-06-27
- Last updated
- 2024-06-27
- Certified
- 2024-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.