Smith, Amanda Elaine

Smith, Amanda Elaine is an individual health care provider with primary practice located at 116 Tracy Miles Rd Ste 200 , Franklin IN 46131-5547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Amanda Elaine can be contacted via phone (317) 346-3100.

Contact Information

Primary practice address
116 Tracy Miles Rd Ste 200 Franklin IN 46131-5547
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28230345A Indiana

Profile Details

NPI number 1902422033
LBN Legal business name Smith, Amanda Elaine
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2020
Last updated May 18th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902422033 NPPES
Indiana MEDICAID 300040100

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