Individual
AMANDA POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
901 MACARTHUR BLVD, NEURO ICU, MUNSTER, IN 46321-2901
(219) 703-1991
(219) 836-6796
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71017249A
IN
Other
Enumeration date
09/15/2025
Last updated
10/21/2025
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