Individual
MARY ANN BANGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
6950 HILLSDALE COURT, INDIANAPOLIS, IN 46250-2040
(317) 621-7740
(317) 662-1760
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
70000157A
IN
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
70000157A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000484985
ANTHEM
IN
01
—
000000650514
ANTHEM
IN
05
—
200981050
—
IN
Enumeration date
09/13/2006
Last updated
11/27/2023
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