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Individual

AMY R HERRIN

Active
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Individual

AMY R HERRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28133436A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71003746A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300009246
IN
05
300100504
IN
Enumeration date
06/30/2011
Last updated
05/23/2025
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