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Individual

AMANDA F KEAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5488
Mailing address
6626 E 75TH ST, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
71007179A
IN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
71007179A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300005623
IN
Enumeration date
06/27/2017
Last updated
03/26/2026
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