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Individual

MRS. AUDRA J ARMSTRONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
209006853
IL
363LN0000X
Neonatal Nurse Practitioner
71002660A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000643895
ANTHEM PROVIDER NUMBER
IN
05
200933610
IN
Enumeration date
09/05/2008
Last updated
07/01/2025
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