Individual
CHE PHILLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-8880
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004801A
IN
363LF0000X
Family Nurse Practitioner
95008674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201214420
—
IN
Enumeration date
02/18/2014
Last updated
07/14/2026
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