Individual
MRS. MICHELE DAWN CAMBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8051 S EMERSON AVE STE 300, INDIANAPOLIS, IN 46237-8630
(317) 528-8494
(317) 528-7118
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71008547A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71008547A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71008547A
INDIANA LICENSE
IN
Enumeration date
11/15/2018
Last updated
01/30/2023
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