Individual
PAIGE L GASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-8880
(317) 962-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010015A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001399436
ANTHEM PTAN
IN
01
—
000001425931
ANTHEM PTAN
IN
05
—
300040564
—
IN
Enumeration date
05/04/2020
Last updated
02/14/2025
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