NPI 1023400454

Amanda Lundberg, MSNRNFNPBC

Practitioner Family Nurse Practitioner South Bend, IN

Practice location

Address: 53830 Generations Dr STE 110, South Bend, IN 46635-1538
Phone: (574) 234-2191

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 71005353A (IN)

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Registry record

NPI: 1023400454
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2015
Record last updated: 23 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.