Healthcare Provider Details

I. General information

NPI: 1497122683
Provider Name (Legal Business Name): GINA L AMIANO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8788 RUFFIAN LN STE B
NEWBURGH IN
47630-3405
US

IV. Provider business mailing address

8788 RUFFIAN LN STE B
NEWBURGH IN
47630-3405
US

V. Phone/Fax

Practice location:
  • Phone: 812-758-8511
  • Fax: 812-205-2260
Mailing address:
  • Phone: 812-758-8511
  • Fax: 812-205-2260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71005914A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number281971712A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: