Individual
BEVERLY E ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13100 E 136TH ST STE 3000, FISHERS, IN 46037-9817
(317) 678-3900
(317) 678-3910
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000308A
IN
363LA2200X
Adult Health Nurse Practitioner
71000308A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000747260
ANTHEM PTAN
IN
01
—
1265490569
ANTHEM PTAN
IN
05
—
200233040
—
IN
Enumeration date
05/03/2006
Last updated
05/08/2025
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