Individual
JAMES R HAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8333 NAAB RD STE 420, INDIANAPOLIS, IN 46260-1992
(317) 338-6666
(317) 338-6066
Mailing address
8333 NAAB RD STE 420, INDIANAPOLIS, IN 46260-1992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28150342
IN
363L00000X
Nurse Practitioner
71002752A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71002752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200920230
—
IN
01
—
P00831964
RAILROAD MEDICARE
IN
Enumeration date
09/10/2008
Last updated
08/02/2023
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