IndividualActive
Amanda Regester
NPI 1629523360 · Pediatric Nurse Practitioner · Bloomington, IN
Provider details
- NPI number
- 1629523360
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 71006529A (IN)
Mailing address
654 S Walker St
Bloomington, IN 47403-2159
Registry dates
- Enumerated
- 2016-08-23
- Last updated
- 2022-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.