Individual
AMANDA SUE WEINZIERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
702 BARNHILL DR, RI 0860, INDIANAPOLIS, IN 46202-5128
(317) 274-8868
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002354A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001071090
ANTHEM PROVIDER NUMBER
IN
01
—
200837500
FIRST STEPS PROVIDER
IN
05
—
300000648
—
IN
Enumeration date
02/09/2007
Last updated
12/08/2020
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