Individual
AMANDA CHRISTINE HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 649-2511
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28225659A
IN
367500000X
Certified Registered Nurse Anesthetist
108716
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28225659A
IN
Other
Enumeration date
01/06/2016
Last updated
03/26/2018
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