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Individual

AMY ELIZABETH BRANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(317) 944-3500
(317) 962-2474
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001952A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001140962
ANTHEM PTAN
IN
01
1102269486
ANTHEM PTAN
IN
Enumeration date
10/27/2017
Last updated
05/17/2025
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