Individual
RACHEL KATHRYN DEMERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6866 W STONEGATE DR STE 100, ZIONSVILLE, IN 46077-8051
(317) 678-6000
(317) 768-6015
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F02210118
IN
363LF0000X
Family Nurse Practitioner
Primary
71012156A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001636281
ANTHEM PTAN
IN
01
—
000001643084
ANTHEM PTAN
IN
05
—
300060789
—
IN
01
—
Q00348088
RAILROAD PTAN
IN
01
—
Q00395648
RAILROAD PTAN
IN
Enumeration date
01/13/2022
Last updated
12/31/2024
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