Individual
AMANDA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 N JOHNSON RD, MOORESVILLE, IN 46158-5504
(317) 941-7338
Mailing address
8455 KEYSTONE CROSSING SUITE 300, INDIANAPOLIS, IN 46240
(317) 941-7338
(317) 969-6727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011379A
IN
Other
Enumeration date
07/30/2021
Last updated
05/06/2026
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