Individual
AMANDA MICHELLE RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010375A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300044252
—
IN
Enumeration date
07/30/2020
Last updated
02/15/2023
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