Individual
AMANDA PIMENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10920 ARKANSAS PL, CROWN POINT, IN 46307-0195
(219) 730-4903
Mailing address
10920 ARKANSAS PL, CROWN POINT, IN 46307-0195
(219) 730-4903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085007135
IL
363A00000X
Physician Assistant
Primary
10002289A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/31/2015
Last updated
06/05/2026
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