AMANDA REGESTER PEDIATRIC HEALTH SERVICES LLC NPI 1932860632

NPI Information

NPI: 1932860632
Provider Name: AMANDA REGESTER PEDIATRIC HEALTH SERVICES, LLC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
654 S WALKER ST
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 369-4344
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AMANDA REGESTER PEDIATRIC HEALTH SERVICES, LLC is a pediatrics nurse practitioner in Bloomington, IN. AMANDA REGESTER PEDIATRIC HEALTH SERVICES, LLC NPI is 1932860632. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

654 S WALKER ST
BLOOMINGTON, IN
ZIP 47403-159
Phone: (812) 369-4344

The provider's authorized official is Amanda Regester .
The authorized official title is Sole-member and has the following contact phone number (317) 450-8498.

The enumeration date for this NPI number is 1/4/2022 and was last updated on 4/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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