Individual
ANNE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
355 W 16TH ST STE 3000, INDIANAPOLIS, IN 46202-2207
(317) 944-6467
(317) 963-7085
Mailing address
1301 E WASHINGTON ST APT 222, INDIANAPOLIS, IN 46202-4154
(765) 409-0669
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002856A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063220100
MEDICARE PTAN
IN
01
—
1104348180
ANTHEM PTAN
IN
05
—
300095841
—
IN
Enumeration date
06/18/2024
Last updated
10/01/2024
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