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Individual

AMELIA E QUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN ADVANCE PRACTICE

Contact information

Practice address
305 MEDIC WAY, GREENCASTLE, IN 46135
(765) 720-7085
(765) 653-0562
Mailing address
305 MEDIC WAY, GREENCASTLE, IN 46135
(765) 720-7085
(765) 653-0562

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
28155359A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71002412A
IN

Other

Enumeration date
05/21/2007
Last updated
05/14/2008
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