Individual
ASHLEY TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 N RITTER AVE, SUITE 479, INDIANAPOLIS, IN 46219-3052
(317) 355-1470
(317) 355-1475
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71003241A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71003241A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000669985
ANTHEM
IN
01
—
000000764728
ANTHEM
IN
05
—
200986150
—
IN
01
—
P01152200
RAILROAD
IN
Enumeration date
07/14/2010
Last updated
11/27/2023
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