Individual
AMANDA N KOEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1684 BUSH LN, CRAWFORDSVILLE, IN 47933-3364
(765) 365-9500
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007312A
IN
Other
Enumeration date
06/12/2017
Last updated
12/17/2021
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