Individual
AMY DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8111 S EMERSON AVE FL 5, INDIANAPOLIS, IN 46237-8601
(317) 528-8930
(317) 528-8532
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28212313A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010923A
IN
Other
Enumeration date
09/29/2020
Last updated
06/19/2023
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