Individual
MRS. GLORIA FRITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
702 BARNHILL DR, SUITE 1134, INDIANAPOLIS, IN 46202-5128
(317) 274-8852
(317) 274-8895
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002696A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000641124
ANTHEM BLUE CROSS AND BLUE SHIELD
IN
05
—
200986510
—
IN
Enumeration date
08/06/2008
Last updated
01/21/2021
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