Individual
AMANDA B BAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
152 WITTENBRAKER AVE, NEW CASTLE, IN 47362-5000
(765) 599-3100
(765) 518-5365
Mailing address
PO BOX 485, NEW CASTLE, IN 47362-0485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007800A
IN
Other
Enumeration date
01/23/2018
Last updated
09/14/2020
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