Individual
MRS. AMY LYNN HENEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8607 ABERDEENSHIRE CT, INDIANAPOLIS, IN 46259-7749
(317) 862-3401
Mailing address
8607 ABERDEENSHIRE CT, INDIANAPOLIS, IN 46259-7749
(317) 862-3401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01049007A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200284090
—
IN
Enumeration date
02/22/2006
Last updated
05/23/2025
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