Individual
ANDREA LEE BANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 S 4TH ST, RICHMOND, IN 47374-5410
(765) 238-7900
Mailing address
404 S 4TH ST, RICHMOND, IN 47374-5410
(765) 238-7900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28209327A
IN
Other
Enumeration date
12/20/2025
Last updated
12/20/2025
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