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Andrea Lynn Detamore
Family Nurse Practitioner in Marion, Indiana
NPI 1356992077

Andrea Lynn Detamore is a Family Nurse Practitioner based in Marion, IN and is specialized in Family. Andrea Lynn Detamore practices in Marion, IN. The NPI Number for Andrea Lynn Detamore is 1356992077 and holds a License No. 28198394A (Indiana).

The current practice location address for Andrea Lynn Detamore is 441 N Wabash, Marion, IN and can be reached out via phone at 765-660-6900. You can also correspond with Andrea Lynn Detamore through the mailing address at 330 N WABASH, MARION, IN - 46952 (mailing address contact number: 765-660-7616).

Location: 441 N Wabash, Marion, IN, 46952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356992077
Provider Name
Andrea Lynn Detamore
Credential
Provider Entity Type
Individual
Gender
Female
Address
441 N Wabash, Marion, IN, 46952
Phone Number
765-660-6900
Fax Number
Provider Enumeration Date
09/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
441 N Wabash
City
Marion
State
Indiana
Zip
46952-2612
Phone Number
765-660-6900
Fax Number
person
Provider Business Mailing Address Details
Address
330 N Wabash
City
Marion
State
Indiana
Zip
46952
Phone Number
765-660-7616
Fax Number
765-651-7313
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2819394A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28198394A (Indiana)
Definition
Definition to come...
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