Individual
HOLLY SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-4038
(317) 351-7855
Mailing address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-4038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047135A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313025
ANTHEM PIN
IN
05
—
200253130
—
IN
01
—
P00097282
RR MEDICARE
IN
Enumeration date
07/30/2006
Last updated
09/08/2016
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