Individual
JULIE M CODDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-5539
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN328856
OH
363L00000X
Nurse Practitioner
71004381A
IN
363LA2100X
Acute Care Nurse Practitioner
10863-NP
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
71004381A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201132060
—
IN
05
—
2989119
—
OH
05
—
7100088950
—
KY
01
—
P00987214
MEDICARE RAILROAD
OH
01
—
P01222132
RR MEDICARE PTAN
IN
Enumeration date
06/04/2009
Last updated
06/17/2021
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