Individual
LEANN E GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-0582
(317) 962-2082
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006180A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201358120
—
IN
01
—
233690121
MEDICARE PTAN
IN
05
—
300047591
—
IN
01
—
Q00261161
RAILROAD PTAN
IN
Enumeration date
01/09/2016
Last updated
12/18/2023
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