Individual
LANNA M GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N. SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 865-6759
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28179552A
IN
363L00000X
Nurse Practitioner
71003981A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003981A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201146180
—
IN
01
—
264430042
MEDICARE PTAN
IN
01
—
267030146
MEDICARE PTAN
IN
05
—
300000702
—
IN
Enumeration date
04/23/2012
Last updated
02/14/2025
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