Individual
AMANDA JEANNE PADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 200, FORT WAYNE, IN 46845-1714
(260) 425-6030
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
67.000345
OH
367H00000X
Anesthesiologist Assistant
Primary
75000075A
IN
Other
Enumeration date
06/13/2019
Last updated
03/17/2023
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