Individual
HEATHER R NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 274-8660
Mailing address
550 N MERIDIAN ST, STE 114, INDIANAPOLIS, IN 46204-1207
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000276
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100381420
—
IN
Enumeration date
05/10/2006
Last updated
02/01/2010
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