Individual
MELISSA ANNE PYATSKOWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
(317) 963-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71004174A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004174A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201153920
—
IN
01
—
264430H32
MEDICARE PTAN
IN
01
—
267030313
MEDICARE PTAN
IN
Enumeration date
10/05/2012
Last updated
10/23/2025
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