Individual
DIEGO F ARMAS CADAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD # UH3005, INDIANAPOLIS, IN 46202-5149
(317) 944-2167
(317) 944-2305
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71013896A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71013896A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068010902
MEDICARE PTAN
IN
01
—
264430H47
MEDICARE PTAN
IN
05
—
300077359
—
IN
Enumeration date
05/11/2023
Last updated
10/13/2023
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