Individual
ANGI J KIEWEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 688-5840
(317) 962-3916
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71009080A
IN
363L00000X
Nurse Practitioner
C-APN.0004371-C-NP
CO
363LC0200X
Critical Care Medicine Nurse Practitioner
SD-CNP CP000901
SD
363LG0600X
Gerontology Nurse Practitioner
Primary
71009080A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102293180
ANTHEM PTAN
IN
05
—
300028299
—
IN
Enumeration date
10/07/2014
Last updated
01/22/2025
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