Individual
APRIL NODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2760
(317) 706-7246
Mailing address
29943 NETWORK PL, CHICAGO, IL 60673-1299
(317) 706-7246
(317) 706-3417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001132A
IN
363AS0400X
Surgical Physician Assistant
Primary
10001132A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0296090
—
OH
05
—
300008972
—
IN
Enumeration date
04/14/2006
Last updated
07/11/2024
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