Individual
MRS. ELIZABETH ANNE TAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, R.D., C.L.T.
Contact information
Practice address
2267 S HUNTER RD, INDIANAPOLIS, IN 46239-9575
(317) 292-2354
(886) 570-9131
Mailing address
6308 SILVERTON WAY, INDIANAPOLIS, IN 46237-3159
(317) 292-2354
(886) 570-9131
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1015420
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000877826
ANTHEM
IN
Enumeration date
07/11/2012
Last updated
03/12/2018
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