Individual
MARZIEH T NADERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13000 E 136TH ST, FISHERS, IN 46037-9478
(317) 678-2000
(317) 924-9424
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28196023A
IN
163W00000X
Registered Nurse
71007253A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007253A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001120717
ANTHEM PTAN
IN
01
—
000001256864
ANTHEM PTAN
IN
05
—
300004210
—
IN
Enumeration date
04/10/2017
Last updated
02/14/2025
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