Ethridge, Amy M

Ethridge, Amy M is an individual health care provider with primary practice located at 520 S 7Th St , Vincennes IN 47591-1038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ethridge, Amy M can be contacted via phone (812) 886-6565.

Contact Information

Primary practice address
520 S 7Th St Vincennes IN 47591-1038
Phone: (812) 886-6565
Fax: (812) 886-6566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28188405A Indiana

Profile Details

NPI number 1578022109
LBN Legal business name Ethridge, Amy M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2019
Last updated Mar 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578022109 NPPES
Indiana MEDICAID 300027459

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