AMANDA LAVENDER

BLOOMINGTON, IN
NPI1033768569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71009545A)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  28194541A)
Enumeration Date2019-09-07
Last Update Date2020-06-09
Business Address
AMANDA LAVENDER PMHNP
727 W 2ND ST
BLOOMINGTON, IN 47403-2209
Phone number: 812-353-3450
Mailing Address
AMANDA LAVENDER PMHNP
2125 16TH ST
BEDFORD, IN 47421-3003
Phone number:
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