Individual
NATHAN CLARENCE AMAYUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 E SOUTHWAY BLVD, KOKOMO, IN 46902-3650
(765) 453-9000
Mailing address
188 E SOUTHWAY BLVD, KOKOMO, IN 46902-3650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28231543A
IN
363LF0000X
Family Nurse Practitioner
Primary
71015044A
IN
Other
Enumeration date
02/08/2024
Last updated
05/09/2024
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