Individual provider · NPI-1

Amanda Rose Annee

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number1518526367
StatusActive
Last updated in NPPESJun 6, 2019

Details

NPI
1518526367
Entity type
Individual (NPI-1)
Name
Amanda Rose Annee
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 6, 2019
Last updated
Jun 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–INYes
2255A2300X Specialist/Technologist, Athletic Trainer–IN

Practice location

1400 E Hanna Ave
Indianapolis, IN 46227-3630

Phone 317-788-3368

Mailing address

3852 Knollton Rd
Indianapolis, IN 46228-3329

Phone 317-690-3247

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Indianapolis, IN