Gomez, Amanda M

Gomez, Amanda M is an individual health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gomez, Amanda M can be contacted via phone (317) 944-5000.

Contact Information

Primary practice address
1701 N Senate Blvd Indianapolis IN 46202-1239
Phone: (317) 944-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71005658A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71005658A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 71005658A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005658A Indiana

Profile Details

NPI number 1518335124
LBN Legal business name Gomez, Amanda M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2015
Last updated Jan 27th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518335124 NPPES
Indiana MEDICAID 201330310

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