Individual
MS. SUSAN ELIZABETH SIPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, AGPCNP-C
Contact information
Practice address
533 E COUNTY LINE RD STE 201B, GREENWOOD, IN 46143-1074
(317) 706-7246
(317) 706-7246
Mailing address
29943 NETWORK PL, CHICAGO, IL 60673-1299
(317) 706-7246
(317) 706-3419
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
71006881A
IN
363LA2200X
Adult Health Nurse Practitioner
71006881A
IN
363LG0600X
Gerontology Nurse Practitioner
71006881A
IN
363LP2300X
Primary Care Nurse Practitioner
71006881A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300007756
—
IN
Enumeration date
02/15/2017
Last updated
11/18/2025
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