| Doctor Name: | AMANDA DAWN SITES |
| NPI Number: | 1003087750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 3178 |
| Business Practice Address: | 4141 Flowing Springs Rd Shenandoah Junction, WV - 254424712 |
| Business Phone Number: | 3047258491 |
| Business Fax Number: | |
| Mailing Address: | 4141 Flowing Springs Rd, SHENANDOAH JUNCTION |
| State: | WV |
| Postal Code: | 254424712 |
| Phone Number: | 3047258491 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2008 |
| NPI Last Update Date: | 03/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 3178 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |