Individual
MS. ANNESSA RAE THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11 EASTERN AVE, INDIANAPOLIS, IN 46201-3203
(317) 638-2862
Mailing address
11 EASTERN AVE, INDIANAPOLIS, IN 46201-3203
(317) 638-2862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28167362A
IN
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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