Individual
MICHELLE DIANE LOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2900 W 16TH STREET, BEDFORD, IN 47421-3510
(812) 275-1200
(812) 275-1231
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 353-9816
(812) 275-1381
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28110239A
IN
367500000X
Certified Registered Nurse Anesthetist
ARNP3269552
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000718587
ANTHEM
IN
05
—
200227820A
—
IN
05
—
304779200
—
FL
Enumeration date
08/15/2005
Last updated
02/06/2017
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