NPI 1053013078

Amanda Brooke Cancilla

Practitioner Other Technician Carmel, IN

Practice location

Address: 13450 N Meridian St STE 145, Carmel, IN 46032-1484
Phone: (317) 679-4209
Mailing address: 9540 Nora Ln, Indianapolis, IN 46240-1234

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Indiana →

Registry record

NPI: 1053013078
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2023
Record last updated: 21 Mar 2023

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.