Individual
ANGELA GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9669 E 146TH ST, NOBLESVILLE, IN 46060
(317) 621-3434
(317) 621-3430
Mailing address
6626 E 75TH, STE. 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28173986A
IN
363L00000X
Nurse Practitioner
71005064A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005064A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201248430
—
IN
01
—
P01424347
RR MEDICARE
IN
Enumeration date
07/07/2014
Last updated
11/27/2023
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