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NPI Code Detail

MEDICARE: AMANDA D STRATHMANN NP

MEDICARE: AMANDA D STRATHMANN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner71008539AIN

General Provider Information

NPI Number : 1144702945
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA D STRATHMANN NP
Provider Business Mailing Address
First Line : PO BOX 1510
Second Line :
City : EVANSVILLE
State : IN
Zip : 47706-1510
Country : US
Telephone Number : 812-450-6815
Fax Number : 812-858-3350
Provider Business Practice Location Address
First Line : 3150 WARRICK DR
Second Line :
City : BOONVILLE
State : IN
Zip : 47601-8602
Country : US
Telephone Number : 812-858-3355
Fax Number : 812-858-3350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 11/09/2018

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