Individual
AMIE SWARDSON BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15900 W 101ST AVE, DYER, IN 46311-3065
(219) 365-6333
Mailing address
15900 W 101ST AVE, DYER, IN 46311-3065
(219) 365-6333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71008248A
LICENSE
IN
Enumeration date
08/22/2018
Last updated
04/09/2021
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