Individual
AMANDA JO MARQUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8424 NAAB RD STE 2A, INDIANAPOLIS, IN 46260-1966
(317) 415-6300
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006884A
IN
Other
Enumeration date
12/09/2016
Last updated
02/27/2017
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