Individual
VIRA SIRIPHANHYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
3843 GROVE TREE LN, INDIANAPOLIS, IN 46203-6092
(813) 614-1217
Mailing address
3843 GROVE TREE LN, INDIANAPOLIS, IN 46203-6092
(813) 614-1217
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10044546
OR
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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