person
Amanda Lavender, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Bloomington, Indiana
NPI 1033768569

Amanda Lavender is a Psychiatric/Mental Health Nurse Practitioner based in Bedford, IN and is specialized in Psychiatric/Mental Health. Amanda Lavender practices in Bloomington, IN and has the professional credentials of PMHNP. The NPI Number for Amanda Lavender is 1033768569 and holds a License No. 71009545A (Indiana).

The current practice location address for Amanda Lavender is 727 W 2Nd St, Bloomington, IN and can be reached out via phone at 812-353-3450 and via fax at 812-353-3451.

Location: 727 W 2Nd St, Bloomington, IN, 47421-3003
person
Provider Profile Details
NPI Number
1033768569
Provider Name
Amanda Lavender
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
727 W 2Nd St, Bloomington, IN, 47421-3003
Phone Number
812-353-3450
Fax Number
812-353-3451
Provider Enumeration Date
09/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
727 W 2Nd St
City
State
Zip
47403-2209
Phone Number
812-353-3450
Fax Number
812-353-3451
person
Provider Business Mailing Address Details
Address
727 W 2Nd St
City
State
Zip
47403-2209
Phone Number
812-353-3450
Fax Number
812-353-3451
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
71009545A (Indiana)
Definition
Definition to come...
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