Amanda Nicole Smith, LPN is a
Licensed Practical Nurse based in Lebanon, Oregon. Amanda Nicole Smith is licensed to practice in Oregon (license number 20133064LPN) and her current practice location is
485 Wagon Wheel Dr, Lebanon, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 337-0376.
NPI number for Amanda Nicole Smith is 1205279601 and her current mailing address is 485 Wagon Wheel Dr, Lebanon, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205279601.
Provider's Profile
Full Name | Amanda Nicole Smith |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 485 Wagon Wheel Dr, Lebanon, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205279601
- Provider Enumeration Date: 04/16/2013
- Last Update Date: 04/16/2013
Medical Identifiers
Medical identifiers for Amanda Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205279601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 20133064LPN (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Nicole Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Nicole Smith, LPN 485 Wagon Wheel Dr, Lebanon, OR 97355-3745 Ph: (541) 337-0376 | Amanda Nicole Smith, LPN 485 Wagon Wheel Dr, Lebanon, OR 97355-3745 Ph: (541) 337-0376 |
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