Individual
MICHELLE D HAMRIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 676-4144
(812) 339-8344
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71004806
IN
363L00000X
Nurse Practitioner
71004806A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004806A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01307650
MEDICARE RR PTAN
IN
Enumeration date
02/18/2014
Last updated
10/18/2022
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