Individual
ANGELA MARIE HEINZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
8921 SOUTHPOINTE DRIVE SUITE B1, INDIANAPOLIS, IN 46227
(317) 887-7266
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71002185B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201033080
—
IN
01
—
P01014105
RR MEDICARE PTAN
IN
Enumeration date
10/12/2006
Last updated
11/27/2023
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