Individual
ABBEY MILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4745 STATESMEN DR STE A, INDIANAPOLIS, IN 46250-5649
(317) 844-2990
Mailing address
4745 STATESMEN DR STE A, INDIANAPOLIS, IN 46250-5649
(317) 844-2990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28167231A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003517A
IN
363LP2300X
Primary Care Nurse Practitioner
71003517A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201009310
—
IN
01
—
P01291597
MEDICARE RR PTAN
IN
Enumeration date
12/20/2010
Last updated
11/06/2024
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