IndividualActive
Amanda Nicholson, LPN
NPI 1124622683 · Licensed Practical Nurse · Rayville, LA
Provider details
- NPI number
- 1124622683
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 20160539 (LA)
Mailing address
161 Comeaux Rd
Rayville, LA 71269
Registry dates
- Enumerated
- 2020-11-25
- Last updated
- 2020-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.