Individual
AMANDA JO PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
220 E VIRGINIA ST, EVANSVILLE, IN 47711-5530
(812) 777-0127
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71003752A
IN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
71003752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20104470
—
IN
Enumeration date
10/11/2011
Last updated
06/06/2023
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