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Individual

AMANDA REES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
432 S EMERSON AVE STE 320, GREENWOOD, IN 46143-1952
(317) 440-4186
Mailing address
4754 BROCKTON RIDGE CT, BARGERSVILLE, IN 46106-5509
(317) 440-4186

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28185820A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71010034A
ADVANCED PRACTICE NURSE PRESCRIPTIVE AUTHORITY
IN
Enumeration date
06/27/2020
Last updated
06/27/2020
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