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Amanda Vagelatos, NP-C
Family Nurse Practitioner in Hammond, Indiana
NPI 1023431814

Amanda Vagelatos is a Family Nurse Practitioner based in Hammond, IN and is specialized in Family. Amanda Vagelatos practices in Hammond, IN and has the professional credentials of NP-C. The NPI Number for Amanda Vagelatos is 1023431814 and holds a License No. 28189650A (Indiana).

The current practice location address for Amanda Vagelatos is 2250 173Rd St, Hammond, IN and can be reached out via phone at 765-494-0111. You can also correspond with Amanda Vagelatos through the mailing address at 2250 173RD ST, HAMMOND, IN - 46323-2074 (mailing address contact number: 765-494-0111).

Location: 2250 173Rd St, Hammond, IN, 46323-2074
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Provider Profile Details
NPI Number
1023431814
Provider Name
Amanda Vagelatos
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
2250 173Rd St, Hammond, IN, 46323-2074
Phone Number
765-494-0111
Fax Number
Provider Enumeration Date
01/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201214860 05 IN
71004816A 01 IN APRN - INDIANA
institution
Provider Business Practice Location Address Details
Address
2250 173Rd St
City
State
Zip
46323-2074
Phone Number
765-494-0111
Fax Number
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Provider Business Mailing Address Details
Address
2250 173Rd St
City
State
Zip
46323-2074
Phone Number
765-494-0111
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28189650A (Indiana)
Definition
Definition to come...
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