Individual
ANNA K. MUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
550 S HOKE AVE, FRANKFORT, IN 46041-2664
(765) 659-1110
(765) 659-2577
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28190968A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71004124A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000787642
ANTHEM PROVIDER NUMBER
IN
05
—
201104550
—
IN
Enumeration date
05/31/2012
Last updated
01/29/2013
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