Individual
AMY D EBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 W KEM RD, SUITE A, MARION, IN 46952-2561
(765) 662-4107
(765) 651-7305
Mailing address
1251 W KEM RD, SUITE A, MARION, IN 46952-2561
(765) 662-4107
(765) 651-7305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28092879A
IN
163WL0100X
Lactation Consultant (Registered Nurse)
28092879A
IN
163WP1700X
Perinatal Registered Nurse
Primary
28092879A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200494920
—
IN
Enumeration date
07/01/2008
Last updated
07/01/2008
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