Individual
MARY ELIZABETH COMBS
Active
Individual
MARY ELIZABETH COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28197944A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71014875A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104122275
ANTHEM PTAN
IN
05
—
300087814
—
IN
Enumeration date
01/03/2024
Last updated
10/07/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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