Individual
MALLORY LEE ANSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1550 E COUNTY LINE RD STE 201, INDIANAPOLIS, IN 46227-1082
(317) 355-1470
(317) 355-1475
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28193934A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012673A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300066355
—
IN
Enumeration date
10/29/2020
Last updated
04/13/2026
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