AMANDA JO HARE
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1518746965- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 930 MEZZANINE DR, LAFAYETTE, IN, 479058631
- Phone
- (765) 607-6160
Specialties & Taxonomies
Registered Nurse
Primary License: IN #28259877A
Nurse Practitioner, Pediatrics
License: IN #71015603A