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Amanda Smith
NPI 1689242588 · on the registry since 2021
Practice
- Address
- 2825 Hillegas Rd
Fort Wayne, IN 46808 - Phone
- (260) 338-1241
- Clinicians at this address
- 33
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-16
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana