Individual
MARIEL ANNE P NETHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
705 RILEY HOSPITAL DR # K1925, INDIANAPOLIS, IN 46202-5109
(317) 944-5000
(317) 963-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004161A
IN
363AM0700X
Medical Physician Assistant
10004161A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103735587
ANTHEM PTAN
IN
05
—
300083034
—
IN
Enumeration date
10/13/2023
Last updated
02/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us