Individual
MR. ZACHARY EPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1919 E 52ND ST, INDIANAPOLIS, IN 46205-1377
(317) 429-0120
Mailing address
1919 E 52ND ST, INDIANAPOLIS, IN 46205-1377
(317) 429-0120
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
71009013A
IN
163WR0006X
Registered Nurse First Assistant
28196594A
IN
363L00000X
Nurse Practitioner
Primary
71009013A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71009013A
INDIANA APN
IN
Enumeration date
06/11/2019
Last updated
07/03/2019
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