Individual
AMBER NUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7910 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2041
(317) 516-5000
(317) 516-5146
Mailing address
7910 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2041
(317) 516-5000
(317) 516-5146
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
245999
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
245999
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705004
—
MA
01
—
133011
FALLON
—
01
—
AA55345
HARVARD PILGRIM
MA
01
—
NP5308
BCBS
—
Enumeration date
04/25/2006
Last updated
11/07/2018
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