Amanda G. Aubrey, NP-C

Individual provider Active NPI Nurse Practitioner · New Albany, IN

NPI 1629355334 · NPPES record last updated Oct 7, 2016

Key facts

NPI
1629355334
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
71003781A (IN)
Practice address
3707 Charlestown Rd Ste C1
New Albany, IN 47150-9254
Phone
(812) 944-4575
Fax
(812) 944-4886
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
71003781AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baby Eyes Lactation Consulting LLC Current Accepting new patients
Trifecta Medical Group PLLC Past Accepting new patients
Growing Kids Pediatrics LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71003781A IN Yes

Addresses

Primary practice location

3707 Charlestown Rd Ste C1
New Albany, IN 47150-9254

Mailing address

PO Box 950293
Louisville, KY 40295-0293
Phone (888) 987-1785

Other providers in New Albany, IN

All providers in New Albany, IN · Nurse Practitioner in Indiana

Sources for this page

Verify at the official NPI Registry.