Individual
THERESA LYNNE GIANNINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1801 N SENATE BLVD STE 4000, INDIANAPOLIS, IN 46202-1184
(317) 962-0500
(317) 962-0501
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001965A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000491503
BCBS PIN
—
05
—
200842890A
—
IN
01
—
P00351800
RAILROAD MEDICARE PIN
—
01
—
P01214693
RR MEDICARE PTAN
IN
Enumeration date
08/31/2006
Last updated
08/05/2025
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