Individual
MICHELA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8177 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-1662
(317) 621-7800
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28180042A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005362A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201277870
—
IN
01
—
71005362A
LICENSE
IN
Enumeration date
02/23/2015
Last updated
11/27/2023
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