Individual
THERESE LYNN DEFABIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, ANP-BC
Contact information
Practice address
155 E MARKET ST, INDIANAPOLIS, IN 46204-3294
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
226556
OK
363L00000X
Nurse Practitioner
71000314
IN
363L00000X
Nurse Practitioner
APRN11037167
FL
363LA2200X
Adult Health Nurse Practitioner
0038109
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
71000314A
IN
363LA2200X
Adult Health Nurse Practitioner
C-APN.0103422-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200855440
—
IN
Enumeration date
09/27/2006
Last updated
12/19/2025
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