Individual
AMANDA CHRISTINE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
556 PORT DR., AVON, IN 46123-1236
(317) 418-1827
Mailing address
556 PORT DR, AVON, IN 46123-1236
(317) 418-1827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28183720A
IN
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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