Individual
ADRIANNE ECHELBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7120 CLEARVISTA DR, SUITE 2100, INDIANAPOLIS, IN 46256-1621
(317) 621-5676
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28185140A
IN
363L00000X
Nurse Practitioner
Primary
71005535A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01512394
MEDICARE RR PTAN
IN
Enumeration date
03/26/2015
Last updated
11/03/2015
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