Provider Demographics
NPI:1336640572
Name:CARMAN, AMY R
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:R
Last Name:CARMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 N NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-1874
Mailing Address - Country:US
Mailing Address - Phone:765-283-8895
Mailing Address - Fax:
Practice Address - Street 1:3803 N NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-1874
Practice Address - Country:US
Practice Address - Phone:765-283-8895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care