Individual
MICHELLE RAE MODLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3912 CLARKS CREEK RD STE A, PLAINFIELD, IN 46168-1947
(463) 255-0134
Mailing address
3912 CLARKS CREEK RD STE A, PLAINFIELD, IN 46168-1947
(765) 655-6174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28189230A
IN
363LF0000X
Family Nurse Practitioner
28189230A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005906A
IN
Other
Enumeration date
05/08/2015
Last updated
06/29/2026
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