# ELITE FAMILY NURSE PRACTITIONERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164146072
- **Authorized official:** AMANDA JOY DECH MSN/FNP-C (FNP/OWNER)
- **Authorized official phone:** (219) 728-6562

## Contact information

- **Practice address:** 407 W INDIANA AVE, CHESTERTON, IN 46304-2350
- **Practice address phone:** (219) 728-6562
- **Practice address fax:** (219) 728-6564
- **Mailing address:** 407 W INDIANA AVE, CHESTERTON, IN 46304-2350
- **Mailing address phone:** (219) 728-6562
- **Mailing address fax:** (219) 728-6564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/04/2022
- **Last updated:** 10/04/2022