Individual
AMANDA K CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
409 E GREENVILLE AVE, WINCHESTER, IN 47394-9436
(765) 584-0480
Mailing address
409 SE GREENVILLE AVE, WINCHESTER, IN 47394-9464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71003481A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003481A
IN
Other
Enumeration date
07/22/2008
Last updated
06/15/2022
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