Individual
RANDI ANTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7910 E WASHINGTON ST, SUITE 110, INDIANAPOLIS, IN 46219-6803
(317) 355-3201
(317) 355-3217
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
194641
NC
363LF0000X
Family Nurse Practitioner
Primary
28202147A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201133580
—
IN
01
—
P01678752
RR MEDICARE
IN
Enumeration date
07/24/2009
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us