Mrs Amanda Lynne Gottshall, LPN is a
Licensed Practical Nurse based in Valparaiso, Indiana. Mrs Amanda Lynne Gottshall is licensed to practice in Indiana (license number 27078148A) and her current practice location is
591 W Division Rd, Valparaiso, Indiana. She can be reached at her office (for appointments etc.) via phone at
(814) 934-1577.
NPI number for Mrs Amanda Lynne Gottshall is 1639874373 and her current mailing address is 591 W Division Rd, Valparaiso, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639874373.
Provider's Profile
Full Name | Mrs Amanda Lynne Gottshall |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 591 W Division Rd, Valparaiso, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639874373
- Provider Enumeration Date: 04/03/2023
- Last Update Date: 04/03/2023
Medical Identifiers
Medical identifiers for Mrs Amanda Lynne Gottshall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639874373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 27078148A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Lynne Gottshall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Amanda Lynne Gottshall, LPN 591 W Division Rd, Valparaiso, IN 46385-9091 Ph: (814) 934-1577 | Mrs Amanda Lynne Gottshall, LPN 591 W Division Rd, Valparaiso, IN 46385-9091 Ph: (814) 934-1577 |
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