| Doctor Name: | AMY SCHMOLL DIERSING |
| NPI Number: | 1316370638 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 28154981A |
| Business Practice Address: | 7375 W Us 52 New Palestine, IN - 461638950 |
| Business Phone Number: | 3178614171 |
| Business Fax Number: | 3178615325 |
| Mailing Address: | 4435 Tarragon Dr, INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462373671 |
| Phone Number: | 3173403092 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2013 |
| NPI Last Update Date: | 08/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 28154981A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |