Individual
ERICA HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7910 E WASHINGTON ST, SUITE 200, INDIANAPOLIS, IN 46219-6803
(317) 355-7171
(317) 355-9022
Mailing address
6626 E. 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01070636A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11015739A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201061620
—
IN
01
—
P01405403
MEDICARE RR
IN
Enumeration date
06/24/2010
Last updated
11/27/2023
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