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Amanda Herrmann Gordon, MSN,A-GNP-C
Gerontology Nurse Practitioner in Indianapolis, Indiana
NPI 1427783059

Amanda Herrmann Gordon is a Gerontology Nurse Practitioner based in Indianapolis, IN and is specialized in Gerontology. Amanda Herrmann Gordon practices in Indianapolis, IN and has the professional credentials of MSN,A-GNP-C. The NPI Number for Amanda Herrmann Gordon is 1427783059 and holds a License No. 28212026A (Indiana).

The current practice location address for Amanda Herrmann Gordon is 355 W 16Th St Ste 3200, Indianapolis, IN and can be reached out via phone at 317-948-5450 and via fax at 317-968-1256.

Location: 355 W 16Th St Ste 3200, Indianapolis, IN, 46219-4959
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Provider Profile Details
NPI Number
1427783059
Provider Name
Amanda Herrmann Gordon
Credential
MSN,A-GNP-C
Provider Entity Type
Individual
Gender
Female
Address
355 W 16Th St Ste 3200, Indianapolis, IN, 46219-4959
Phone Number
317-948-5450
Fax Number
317-968-1256
Provider Enumeration Date
07/18/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
262210083 01 IN MEDICARE PTAN
300078761 05 IN
institution
Provider Business Practice Location Address Details
Address
355 W 16Th St Ste 3200
City
State
Zip
46202-2280
Phone Number
317-948-5450
Fax Number
317-968-1256
person
Provider Business Mailing Address Details
Address
355 W 16Th St Ste 3200
City
State
Zip
46202-2280
Phone Number
317-948-5450
Fax Number
317-968-1256
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71013844A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
28212026A (Indiana)
Definition
Definition to come...
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