Individual
FLORENCE AMANCHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3302 S EAST ST, INDIANAPOLIS, IN 46227-1118
(317) 970-0647
Mailing address
3302 S EAST ST, INDIANAPOLIS, IN 46227-1118
(317) 970-0647
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71016856A
IN
363LG0600X
Gerontology Nurse Practitioner
71016856A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
71016856A
IN
Other
Enumeration date
02/03/2025
Last updated
07/17/2025
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