Individual
ELIZABETH A MOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1801 N SENATE BLVD, SUITE 230, INDIANAPOLIS, IN 46202-1252
(317) 962-5820
(317) 962-3916
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71005912A
IN
363LA2200X
Adult Health Nurse Practitioner
71005912A
IN
363LF0000X
Family Nurse Practitioner
71005912A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71005912A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201331320
—
IN
Enumeration date
11/16/2015
Last updated
02/13/2025
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