Individual
RACHEL E MILSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4141 SHORE DR, INDIANAPOLIS, IN 46254-2607
(317) 329-2000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001449A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000788816
ANTHEM
IN
01
—
000001011996
ANTHEM UFP TIN
IN
01
—
P01199140
RAILROAD MEDICARE
IN
Enumeration date
08/07/2012
Last updated
12/16/2020
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