Individual
PATRICIA SUE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
8925 N MERIDIAN ST, SUITE100, INDIANAPOLIS, IN 46260-2386
(317) 218-2807
(800) 591-3117
Mailing address
8925 N MERIDIAN ST, SUITE100, INDIANAPOLIS, IN 46260-2386
(317) 218-2807
(800) 591-3117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002830A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200929840
—
IN
Enumeration date
01/09/2009
Last updated
01/16/2014
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