Individual
AMANDA SUE BUCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
134 N EMERSON AVE, GREENWOOD, IN 46143-9760
(317) 750-5403
Mailing address
6332 DEERSTAND RD, GREENWOOD, IN 46143-9154
(317) 750-5403
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
28224263A
IN
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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