Individual
MEI QUI LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR, RR 208, INDIANAPOLIS, IN 46202-5109
(317) 274-4715
(317) 274-2065
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 274-1201
(317) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28156787A
IN
363LN0000X
Neonatal Nurse Practitioner
28156787
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71002984
IN
363LN0005X
Critical Care Neonatal Nurse Practitioner
71002984A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000639579
ANTHEM PROVIDER NUMBER
IN
05
—
200966530
—
IN
Enumeration date
06/25/2009
Last updated
02/10/2021
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