Healthcare Provider Details

I. General information

NPI: 1396260782
Provider Name (Legal Business Name): AMY GREENFIELD ABUASABEH PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2017
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13420 N MERIDIAN ST STE 400
CARMEL IN
46032-1581
US

IV. Provider business mailing address

10106 GUILFORD AVE
CARMEL IN
46280-1737
US

V. Phone/Fax

Practice location:
  • Phone: 812-461-8909
  • Fax: 812-461-8909
Mailing address:
  • Phone: 812-461-8909
  • Fax: 812-461-8909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71007352A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: