AMY MCDONALD RN NPI 1104715051

NPI Information

  • NPI: 1104715051
  • Provider Name: AMY MCDONALD, RN
  • Classification: Registered Nurse - 163WN1003X
  • Specialization: Nutrition Support
  • Entity Type: Individual
  • Address: 9737 BLACK OAK RD STE E
    FRAZIERS BOTTOM, WV
    ZIP 25082
  • Phone: (740) 208-0190

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NPI Details

Amy Mcdonald, RN is a nutrition support registered nurse in Fraziers Bottom, WV. Amy Mcdonald, RN NPI is 1104715051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9737 BLACK OAK RD STE E
FRAZIERS BOTTOM, WV
ZIP 25082-006
Phone: (740) 208-0190

The enumeration date for this NPI number is 7/2/2025 and was last updated on 7/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WN1003XRegistered NurseNutrition Support58492WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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