Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Lynn Detamore

Individual provider Nurse Practitioner · NPI 1356992077

Andrea Lynn Detamore is a Nurse Practitioner in Marion, Indiana. Qualified in 2017, 9 years ago. Practices with Marion General Hospital, a 117-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

441 N Wabash
Marion, IN 46952-2612
Phone: (765) 660-6900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1130 N Baldwin Ave, Marion, IN 46952-2536 — (765) 660-7480

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2819394A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 28198394A (IN)

Record details

NPI number1356992077
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESSeptember 24, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Marion General Hospital — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marion