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Individual

MR. ANDREW A NORTHROP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
9240 N MERIDIAN ST STE 120, INDIANAPOLIS, IN 46260-1811
(317) 571-0030
Mailing address
9240 N MERIDIAN ST STE 120, INDIANAPOLIS, IN 46260-1811
(317) 571-0030
(317) 219-4690

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71005955A
IN
363LF0000X
Family Nurse Practitioner
28181261A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005955A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200969430
IN
Enumeration date
11/03/2015
Last updated
06/17/2022
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