Individual
MRS. AMANDA DIANE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2451 INTELLIPLEX DR STE 240, SHELBYVILLE, IN 46176-8581
(317) 398-7337
Mailing address
30 W RAMPART ST STE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007255A
IN
Other
Enumeration date
06/01/2017
Last updated
10/14/2021
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