Individual
AMANDA JO MARIE BRINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 N 1000 W, LINTON, IN 47441-5013
(812) 847-4481
Mailing address
59 6TH ST SE, LINTON, IN 47441-1914
(812) 798-7502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28184504A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300019338
—
IN
Enumeration date
05/11/2018
Last updated
06/14/2019
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