Provider Demographics
NPI:1134525645
Name:AESCHLIMAN, AMY R (FNP-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:R
Last Name:AESCHLIMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E. 5TH STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:BURLINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:46915-1758
Mailing Address - Country:US
Mailing Address - Phone:765-566-5055
Mailing Address - Fax:765-566-5050
Practice Address - Street 1:425 E. 5TH STREET
Practice Address - Street 2:SUITE B
Practice Address - City:BURLINGTON
Practice Address - State:IN
Practice Address - Zip Code:46915-1758
Practice Address - Country:US
Practice Address - Phone:765-566-5055
Practice Address - Fax:765-566-5050
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-10
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71005231A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily