AMANDA B BAZAN

HENRY COUNTY MEMORIAL HOSPITAL

Dr AMANDA B BAZAN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

HENRY COUNTY MEMORIAL HOSPITAL

415 E MAIN ST
CAMBRIDGE CITY FAMILY HEALTH PARTNERS
CAMBRIDGE CITY
IN
473271323

Tel: 7654784541

AMANDA B BAZAN Information

Npi 1205334448
Pac Id 7214290253
Professional Enrollment Id I20180404001862
Last Name BAZAN
First Name AMANDA
Middle Name B
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HENRY COUNTY MEMORIAL HOSPITAL
Group Practice Pac Id 6002724085
Number Of Group Practice Members 83
Line 1 Street Address 415 E MAIN ST
Line 2 Street Address CAMBRIDGE CITY FAMILY HEALTH PARTNERS
Marker Of Address Line 2 Suppression
City CAMBRIDGE CITY
State IN
Zip Code 473271323
Phone Number 7654784541
Hospital Affiliation Ccn 1 150030
Hospital Affiliation Lbn 1 HENRY COUNTY MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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