Individual
CASSANDRA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26 N ARSENAL AVE, INDIANAPOLIS, IN 46201-3808
(317) 423-0130
(317) 423-0608
Mailing address
26 N ARSENAL AVE, INDIANAPOLIS, IN 46201-3808
(317) 423-0130
(317) 423-0608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28227651A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010144A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102422594
ANTHEM PTAN
IN
05
—
300062697
—
IN
Enumeration date
01/14/2020
Last updated
05/15/2025
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