Provider Demographics
NPI:1346517711
Name:NUNIER, AMANDA MARIE STOLLE (DC)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:MARIE STOLLE
Last Name:NUNIER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 STATE ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4962
Mailing Address - Country:US
Mailing Address - Phone:812-945-4500
Mailing Address - Fax:812-945-4808
Practice Address - Street 1:2441 STATE ST
Practice Address - Street 2:SUITE 10
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4962
Practice Address - Country:US
Practice Address - Phone:812-945-4500
Practice Address - Fax:812-945-4808
Is Sole Proprietor?:No
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002613A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor