Provider Demographics
NPI:1811795750
Name:CHATMAN, AMISHA TENE (CNA)
Entity type:Individual
Prefix:
First Name:AMISHA
Middle Name:TENE
Last Name:CHATMAN
Suffix:
Gender:
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4454 FULLWOOD CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-2070
Mailing Address - Country:US
Mailing Address - Phone:317-627-2506
Mailing Address - Fax:
Practice Address - Street 1:4454 FULLWOOD CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-2070
Practice Address - Country:US
Practice Address - Phone:317-627-2506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1004485376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide