Individual
MRS. AMANDA ROSE DOEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
100 NAVARRE PL STE 4440, SOUTH BEND, IN 46601-1171
(574) 647-5300
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-6592
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71013123A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300069500
—
IN
Enumeration date
09/13/2022
Last updated
07/08/2026
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