Provider Demographics
NPI:1043744451
Name:PUROL, AMY LYNN (MPAS, PA-C)
Entity Type:Individual
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First Name:AMY
Middle Name:LYNN
Last Name:PUROL
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Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:3643 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-3557
Mailing Address - Country:US
Mailing Address - Phone:317-908-2268
Mailing Address - Fax:
Practice Address - Street 1:1125 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2140
Practice Address - Country:US
Practice Address - Phone:317-736-2601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2022-12-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant