Detamore, Andrea Lynn

Detamore, Andrea Lynn is an individual health care provider with primary practice located at 441 N Wabash , Marion IN 46952-2612. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Detamore, Andrea Lynn can be contacted via phone (765) 660-6900.

Contact Information

Primary practice address
441 N Wabash Marion IN 46952-2612
Phone: (765) 660-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28198394A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2819394A Indiana

Profile Details

NPI number 1356992077
LBN Legal business name Detamore, Andrea Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2019
Last updated Sep 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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