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Individual

MS. PEI-TZU ANGELA SU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PMHNP-BC

Contact information

Practice address
2040 N SHADELAND AVE, INDIANAPOLIS, IN 46219-1711
(463) 232-7194
Mailing address
2040 N SHADELAND AVE, INDIANAPOLIS, IN 46219-1711

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
28254309A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71014113A
IN

Other

Enumeration date
08/29/2022
Last updated
03/17/2026
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