Individual
HANNAH NICOLE BUGBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 702-2819
(317) 222-2062
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28179599C
IN
363LF0000X
Family Nurse Practitioner
Primary
71013143A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102683119
ANTHEM PTAN
IN
05
—
300068516
—
IN
Enumeration date
10/05/2022
Last updated
12/12/2024
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