Individual
AMANDEEP KAUR RAGSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-5339
(317) 962-2082
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71012593A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233690225
MEDICARE PTAN
IN
05
—
300063878
—
IN
Enumeration date
06/15/2022
Last updated
10/02/2024
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