AMANDA ANN ALDANA


Address: 621 Memorial Dr Ste 312, South Bend, IN 46601-1073
Phone: 5746475200

AMANDA ANN ALDANA (NPI# 1124671813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124671813
Entity Type Individual
Full Name AMANDA ANN ALDANA
Credential NP
Practice Address 621 Memorial Dr Ste 312
South Bend
IN 46601-1073
Mailing Address 710 N Niles Ave
South Bend
IN 46617-1924
Practice Telephone 5746475200
Practice Fax Number 5746475210
Mailing Telephone 5746471610
Mailing Fax Number 5742376069
Enumeration Date 2019-07-22
Last Update Date 2019-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
71009282A IN Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
28195806A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN MEDICARE PTAN M169308003 01
IN 300030223 05

Office Location

Street Address 621 MEMORIAL DR STE 312
City SOUTH BEND
State IN
Zip Code 46601-1073

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801881255 Howard Elvindo Wiarda Radiology 621 Memorial Dr Ste 312, South Bend, IN 46601 2005-09-13
1932468352 Beacon Medical Group, Inc. Radiology 621 Memorial Dr Ste 312, South Bend, IN 46601-1073 2012-05-04
1376845073 Stacy L Mc Dowell Clinical Nurse Specialist 621 Memorial Dr Ste 312, South Bend, IN 46601-1073 2010-12-01
1689669715 Kevin M Small Radiology 621 Memorial Dr Ste 312, South Bend, IN 46601-1073 2005-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447610449 David Thomas Hearing Instrument Specialist 808 S Michigan St., South Bend, IN 46601 2016-03-03
1285072454 Kevin Francis Cumper Internal Medicine 621 Memorial Dr Ste 624, South Bend, IN 46601 2013-06-11
1952605560 Robert Lusk Bonham Dentist 1222 L.w.e., So. Bend, IN 46601 2010-12-23
1649580911 Daniel Scott Debrule Psychologist 211 W. Washington Street, Suite 2311, South Bend, IN 46601 2010-10-20
1528390770 Luke Alfred White Internal Medicine 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 2010-02-12
1548497837 Tmg Home Health Care Home Health 108 N Main St #305, South Bend, IN 46601 2009-06-15
1225283039 Jody L. Hughes Counselor 202 S. Michigan Street, Suite 875, South Bend, IN 46601 2008-11-20
1740432574 Amanda Jayne Quicksall Social Worker 611 Lincolnway W, South Bend, IN 46601 2008-10-10
1952565772 Thomas P Judd Dentist 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 2008-07-10
1851590269 Warren Larry Penrod Nurse Practitioner 333 W. Western Ave, South Bend, IN 46601 2007-07-16
Find all providers in zip 46601

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205334927 Martha Wahu Mburu Nurse Practitioner 17747 Tallyho Dr E, South Bend, IN 46635-1040 2018-01-28
1194245324 Sameka Renee Dowell Mills Nurse Practitioner 112 W Jefferson Blvd Ste 600, South Bend, IN 46601-1921 2017-06-20
1265826226 Mario Remedios Ortiz Nurse Practitioner 1700 Mishawaka Ave # Sac-130, Health & Wellness Center, Iu South Bend, South Bend, IN 46615-1408 2015-03-26
1023400454 Amanda Lundberg Nurse Practitioner 53830 Generations Dr Ste 110, South Bend, IN 46635-1538 2015-02-23
1932520426 Stephanie Brenneman Nurse Practitioner 943 S 25th St, South Bend, IN 46615-1707 2013-12-30
1467747014 Deidre A Coffey Nurse Practitioner 1025 Widener Ln, South Bend, IN 46614 2011-06-12
1083919161 Caitlin Vlaeminck Nurse Practitioner 6301 University Commons Ste 320, South Bend, IN 46635-1479 2011-01-20
1851590269 Warren Larry Penrod Nurse Practitioner 333 W. Western Ave, South Bend, IN 46601 2007-07-16
1780620005 Barbara Ann Norris Nurse Practitioner 1432 Lincoln Way E, South Bend, IN 46613-3205 2006-06-22
1184629891 Sharon K Klingerman Nurse Practitioner 100 Navarre Pl, Ste 5550, South Bend, IN 46601-1169 2005-06-17
Find all providers in SOUTH BEND

Competitor

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City SOUTH BEND
Zip Code 46601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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