MEDICARE: AMANDA N VOLDNESS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	COA.16845-NP	OH
2	363LF0000X	Family Nurse Practitioner	RN. 361422	OH
3	363LF0000X	Family Nurse Practitioner	118610	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598163651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA N VOLDNESS NP

Provider Business Mailing Address
First Line	:	416 COLEGATE DR BLDG 3
Second Line	:
City	:	MARIETTA
State	:	OH
Zip	:	45750-9549
Country	:	US
Telephone Number	:	740-374-3526
Fax Number	:	740-374-3165

Provider Business Practice Location Address
First Line	:	1861 N PLEASANTS HWY # 101
Second Line	:
City	:	SAINT MARYS
State	:	WV
Zip	:	26170-8511
Country	:	US
Telephone Number	:	681-612-1022
Fax Number	:	304-447-2556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2014
Last Update Date	:	06/23/2025

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Directions to “ AMANDA N VOLDNESS NP” Practice Location

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