Individual
AMANDA MARIE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2522 WATERBRIDGE WAY, EVANSVILLE, IN 47710-3200
(812) 422-6886
Mailing address
2522 WATERBRIDGE WAY, EVANSVILLE, IN 47710-3200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28190489A
IN
363LF0000X
Family Nurse Practitioner
71008024A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71008024A
IN
Other
Enumeration date
04/23/2018
Last updated
06/22/2022
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