Individual
BARBARA PESCITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 MEMORIAL SQ STE 305, GREENFIELD, IN 46140-3308
(317) 462-6662
(317) 468-6275
Mailing address
PO BOX 129, GREENFIELD, IN 46140-0129
(317) 468-6270
(317) 468-6268
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001109A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328308
ANTHEM PIN NUMBER
IN
01
—
200311740H,D
MEDICAID GROUP#/LOCATION
IN
05
—
200322310
—
IN
Enumeration date
03/08/2006
Last updated
10/14/2010
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