Individual
ABIMBOLA EHIMARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(832) 250-4016
Mailing address
6720 PARKDALE PL, INDIANAPOLIS, IN 46254-4668
(317) 744-9200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28263367A
IN
363L00000X
Nurse Practitioner
Primary
71016850A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71016850A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300121063
—
IN
Enumeration date
04/23/2025
Last updated
12/02/2025
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