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Amanda Starks, CPNP
Pediatric Nurse Practitioner in Bedford, Indiana
NPI 1376867598

Amanda Starks is a Pediatric Nurse Practitioner based in Bloomington, IN and is specialized in Pediatrics. Amanda Starks practices in Bedford, IN and has the professional credentials of CPNP. The NPI Number for Amanda Starks is 1376867598 and holds a License No. 71003206A (Indiana).

The current practice location address for Amanda Starks is 1614 25Th St, Bedford, IN and can be reached out via phone at 812-277-0118 and via fax at 812-277-0127.

Location: 1614 25Th St, Bedford, IN, 47402-1329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376867598
Provider Name
Amanda Starks
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1614 25Th St, Bedford, IN, 47402-1329
Phone Number
812-277-0118
Fax Number
812-277-0127
Provider Enumeration Date
03/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200975950 05 IN
institution
Provider Business Practice Location Address Details
Address
1614 25Th St
City
Bedford
State
Indiana
Zip
47421-5000
Phone Number
812-277-0118
Fax Number
812-277-0127
person
Provider Business Mailing Address Details
Address
1614 25Th St
City
Bedford
State
Indiana
Zip
47421-5000
Phone Number
812-277-0118
Fax Number
812-277-0127
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
71003206A (Indiana)
Definition
Definition to come...
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