IndividualActive
Amanda Wickline
NPI 1750169165 · Homemaker · Charleston, WV
Provider details
- NPI number
- 1750169165
- Entity type
- Individual
- Primary specialty
- HomemakerNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
4510 Pennsylvania Ave Ste C
Charleston, WV 25302-4835
Phone: (304) 965-9081
Fax: (304) 471-2488
Mailing address
4175 Rich Fork Rd
Charleston, WV 25312-7259
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.