Individual
ANDREA MICHELLE SELLMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8820 S MERIDIAN ST STE 120, INDIANAPOLIS, IN 46217-6057
(317) 865-6700
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28207046A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012404A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430E32
MEDICARE PTAN
IN
05
—
300061700
—
IN
Enumeration date
03/31/2022
Last updated
09/28/2023
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