Amanda Nicole Smith, LPN in Lebanon, OR - Licensed Practical Nurse

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.

Contact Information

	Amanda Nicole Smith, LPN
	485 Wagon Wheel Dr, Lebanon, OR 97355-3745
	(541) 337-0376
	Not Available

Provider's Profile

Full Name	Amanda Nicole Smith
Gender	Female
Speciality	Licensed Practical Nurse
Location	485 Wagon Wheel Dr, Lebanon, Oregon
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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Amanda Nicole Smith, LPN - Licensed Practical Nurse in Lebanon, OR