Individual
APRIL SUSAN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9240 N MERIDIAN ST STE 160, INDIANAPOLIS, IN 46260-1827
(317) 415-6230
Mailing address
9240 N MERIDIAN ST STE 160, INDIANAPOLIS, IN 46260-1827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704303374
MI
363LF0000X
Family Nurse Practitioner
Primary
71001557
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000284090
ATHEM
IN
01
—
000000642286
ANTHEM
IN
01
—
00000634021
ANTHEM
IN
01
—
080F360200
BCBSM GROUP
MI
05
—
200438610
—
IN
Enumeration date
10/20/2005
Last updated
09/14/2023
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