Lavender, Amanda

Lavender, Amanda is an individual health care provider with primary practice located at 727 W 2Nd St , Bloomington IN 47403-2209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lavender, Amanda can be contacted via phone (812) 353-3450.

Contact Information

Primary practice address
727 W 2Nd St Bloomington IN 47403-2209
Phone: (812) 353-3450
Fax: (812) 353-3451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71009545A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 28194541A Indiana

Profile Details

NPI number 1033768569
LBN Legal business name Lavender, Amanda
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2019
Last updated Jun 9th, 2020 - about 5 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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