IndividualActive
Amanda Buckhalter, LPN
NPI 1417469677 · Licensed Practical Nurse · Longview, WA
Provider details
- NPI number
- 1417469677
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- LP00052833 (WA)
Specialties & taxonomies
Nursing Service Providers
Practice location
921 14th Ave
Longview, WA 98632-2316
Phone: (360) 423-0203
Fax: (360) 423-2311
Approximate (ZIP-level) locationGet directions
Mailing address
921 14th Ave
Longview, WA 98632-2316
Registry dates
- Enumerated
- 2017-10-27
- Last updated
- 2017-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.