Individual
AMANDA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP BC
Contact information
Practice address
8111 S EMERSON AVE FL 5, INDIANAPOLIS, IN 46237-8601
(317) 528-8930
(317) 528-8532
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71011074A
IN
Other
Enumeration date
03/25/2021
Last updated
10/17/2023
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