Individual
AMANDA LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-BC
Contact information
Practice address
53830 GENERATIONS DR STE 110, SOUTH BEND, IN 46635-1538
(574) 234-2191
Mailing address
53830 GENERATIONS DR STE 110, SOUTH BEND, IN 46635-1538
(574) 234-2191
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005353A
IN
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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