Individual
MICHELLE KAYE RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
720 ESKENAZI AVE FL 1, INDIANAPOLIS, IN 46202-5189
(317) 880-3305
(317) 880-0411
Mailing address
720 ESKENAZI AVE FL 1, INDIANAPOLIS, IN 46202-5189
(317) 880-3305
(317) 880-0411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28162792A
IN
363LF0000X
Family Nurse Practitioner
71003438A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201002200
—
IN
Enumeration date
09/08/2010
Last updated
03/13/2023
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