Individual
ANNE M PATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 726-7131
(260) 726-1975
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28150978A
IN
363L00000X
Nurse Practitioner
71006917A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71006917A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300001122
—
IN
Enumeration date
02/03/2017
Last updated
08/22/2023
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