Individual
AMANDA D HOFMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 355-6900
(812) 355-3270
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 963-4171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28160624A
IN
363L00000X
Nurse Practitioner
71007729A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007729A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540313
MEDICARE PTAN
IN
05
—
300010599
—
IN
Enumeration date
12/28/2017
Last updated
10/06/2025
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