Starks, Amanda

Starks, Amanda is an individual health care provider with primary practice located at 1614 25Th St , Bedford IN 47421-5000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Starks, Amanda can be contacted via phone (812) 277-0118.

Contact Information

Primary practice address
1614 25Th St Bedford IN 47421-5000
Phone: (812) 277-0118
Fax: (812) 277-0127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71003206A Indiana

Profile Details

NPI number 1376867598
LBN Legal business name Starks, Amanda
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2010
Last updated Mar 1st, 2016 - about 9 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 1376867598 NPPES
Indiana MEDICAID 200975950

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