IndividualActive
Amanda Butcher
NPI 1164957338 · Primary Care Nurse Practitioner · Bloomington, IN
Provider details
- NPI number
- 1164957338
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 71007401A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
550 S Landmark Ave
Bloomington, IN 47403
Phone: (812) 676-4660
Approximate (ZIP-level) locationGet directions
Mailing address
550 S Landmark Ave
Bloomington, IN 47403-3239
Additional practice locations (1)
- 1520 S Liberty DrBloomington, IN 47403-5167Phone: (812) 676-4660
Registry dates
- Enumerated
- 2017-04-25
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.