Individual
MRS. AMANDA LYNNE GOTTSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
591 W DIVISION RD, VALPARAISO, IN 46385-9091
(814) 934-1577
Mailing address
591 W DIVISION RD, VALPARAISO, IN 46385-9091
(814) 934-1577
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27078148A
IN
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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