Individual
CATHY M HANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7120 CLEARVISTA DR, SUITE 4000, INDIANAPOLIS, IN 46256-1621
(317) 577-7444
(317) 577-7443
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71001026A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000647935
ANTHEM
IN
05
—
200308550
—
IN
01
—
P01456871
RR MEDICARE
IN
Enumeration date
10/11/2005
Last updated
07/02/2015
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