Individual
MICHAEL D ATWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2598 W WHITE RIVER BLVD, MUNCIE, IN 47303-5251
(765) 702-2817
(317) 222-2198
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003877A
IN
363LF0000X
Family Nurse Practitioner
APRN.CNP.13472
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000752960
ANTHEM
—
05
—
0088322
—
OH
05
—
201051130
—
IN
Enumeration date
01/10/2012
Last updated
07/07/2022
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