Healthcare Provider Details

I. General information

NPI: 1518272582
Provider Name (Legal Business Name): AMY L ORR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY L KINDER CPNP

II. Dates (important events)

Enumeration Date: 08/13/2010
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 S MADISON ST
MUNCIE IN
47302-5758
US

IV. Provider business mailing address

250 N SHADELAND AVE
INDIANAPOLIS IN
46219-4959
US

V. Phone/Fax

Practice location:
  • Phone: 765-747-3858
  • Fax: 317-747-3859
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number71003308A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: