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Amanda Lavender, PMHNP — NPI 1033768569, Bloomington, IN | NPI Central

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NPI 1033768569

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Amanda Lavender, PMHNP

NPI 1033768569 · Psychiatric/Mental Health Nurse Practitioner · Bloomington, IN

Provider details

NPI number: 1033768569
Entity type: Individual
Primary specialty: Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: PMHNP
Sex: Female
Sole proprietor: No
License: 71009545A (IN)

Specialties & taxonomies

Psychiatric/Mental Health Nurse PractitionerPrimary363LP0808XLicense 71009545A (IN)
Physician Assistants & Advanced Practice Nursing Providers
Psychiatric/Mental Health Nurse Practitioner363LP0808XLicense 28194541A (IN)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

727 W 2nd St

Bloomington, IN 47403-2209

Phone: (812) 353-3450

Fax: (812) 353-3451

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

2125 16th St

Bedford, IN 47421-3003

Additional practice locations (1)

2125 16th St
Bedford, IN 47421-3003
Phone: (812) 275-4053
Fax: (812) 275-5494

Registry dates

Enumerated: 2019-09-07
Last updated: 2020-06-09
Certified: 2020-06-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.