Individual
MRS. AMANDA ROSE DOEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2222 RIETH BLVD STE 100, GOSHEN, IN 46526-5869
(574) 875-1200
(574) 875-0362
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
Enumeration date
09/13/2022
Last updated
01/21/2026
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