Individual
BAILEY ANNE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 948-7128
(317) 944-3442
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
28225172A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71012772A
IN
Other
Enumeration date
09/21/2021
Last updated
09/28/2022
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