Individual
AMY CHARLOTTE SPRUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8401 WESTFIELD BLVD, INDIANAPOLIS, IN 46240-2367
(317) 963-1616
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009884A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267030244
MEDICARE PTAN
IN
05
—
300057996
—
IN
Enumeration date
03/26/2020
Last updated
10/05/2023
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