Individual
LARISSA CLAIRE SMITH BAKEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7979 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250-2042
(317) 621-4300
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009425A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300055378
—
IN
Enumeration date
08/30/2019
Last updated
01/20/2026
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