Individual
AMANDA LYNN ALBERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 237-9231
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004064A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201230300
—
IN
Enumeration date
08/06/2012
Last updated
04/18/2019
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