AMANDA STARKS

BEDFORD, IN
NPI1376867598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IN  71003206A)
Enumeration Date2010-03-17
Last Update Date2016-03-01
Business Address
-- AMANDA STARKS CPNP
1614 25TH ST
BEDFORD, IN 47421-5000
Phone number: 812-277-0118
Mailing Address
-- AMANDA STARKS CPNP
PO BOX 1329
BLOOMINGTON, IN 47402-1329
Phone number: