Individual
AMY GOODPASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN- FNP
Contact information
Practice address
11495 N PENN ST STE 270, CARMEL, IN 46032-5636
(317) 938-4559
(317) 527-4704
Mailing address
583 WINDBOROUGH, BROWNSBURG, IN 46112-9341
(317) 965-6260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011641A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518639640.
NPI
IN
Enumeration date
09/28/2021
Last updated
09/28/2021
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