Individual
MISCHA GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2163 W 59TH ST, INDIANAPOLIS, IN 46228-1719
(317) 331-2924
Mailing address
2163 W 59TH ST, INDIANAPOLIS, IN 46228-1719
(317) 331-2924
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
28231138C
IN
163WN1003X
Nutrition Support Registered Nurse
28231138C
IN
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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