Individual
HANNAH L MIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1801 N SENATE BLVD, STE 535, INDIANAPOLIS, IN 46202-1204
(317) 963-1950
(317) 963-1955
Mailing address
250 N SHADELAND AVE, STE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(317) 963-0860
(317) 962-4343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28173786A
IN
363L00000X
Nurse Practitioner
Primary
71004445A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201186830
—
IN
Enumeration date
05/10/2013
Last updated
11/08/2013
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