Individual
TRISTAN TAYLOR SEPPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
8333 NAAB RD STE 250, INDIANAPOLIS, IN 46260-1983
(317) 338-5100
Mailing address
8333 NAAB RD STE 250, INDIANAPOLIS, IN 46260-1983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010588A
IN
Other
Enumeration date
09/03/2020
Last updated
09/22/2023
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