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Individual

AMANDA LEIGH DEHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704230262
MI
363L00000X
Nurse Practitioner
Primary
71014530A
IN
363LF0000X
Family Nurse Practitioner
71014530A
IN

Other

Enumeration date
03/15/2016
Last updated
01/07/2026
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