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General NPI Number Information
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NPI Number | 1114439312
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Entity Type | Individual
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Provider Name | AMY S MUTZNER APRN
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Gender | Female
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Dates
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Enumeration Date | 10/27/2017
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 412 NEW ALBANY PLZ
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City | NEW ALBANY
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State | IN
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Zip | 47150-4656
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Country | US
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Telephone | 800-769-0045
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Fax | 812-725-7825
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Provider Business Mailing Address
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Address Line | 412 NEW ALBANY PLZ
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City | NEW ALBANY
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State | IN
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Zip | 47150-4656
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Country | US
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Telephone | 800-769-0045
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Fax | 812-725-7825
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71007586A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3011760
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71007586A
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License Number State | IN
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