IndividualActive
Amanda Brunk, LPN
NPI 1164894580 · Licensed Practical Nurse · Fairborn, OH
Provider details
- NPI number
- 1164894580
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- PN.146639-M-IV (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
4 W Dayton Yellow Springs Rd
Fairborn, OH 45324-3435
Phone: (937) 878-8668
Approximate (ZIP-level) locationGet directions
Mailing address
4 W Dayton Yellow Springs Rd
Fairborn, OH 45324-3435
Registry dates
- Enumerated
- 2015-10-25
- Last updated
- 2015-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.