Individual
AMA ASUBONTENG AMOFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1400 E CROSSING BLVD, TERRE HAUTE, IN 47802-5316
(812) 239-3066
Mailing address
7299 BELFONTE LN, TERRE HAUTE, IN 47802-9196
(573) 645-7695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28224828A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011554A
IN
Other
Enumeration date
08/10/2021
Last updated
04/23/2025
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