Individual
REBECCA D HIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10590 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1028
(317) 338-6666
Mailing address
10590 N MERIDIAN ST, CARMEL, IN 46290-1028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28170157A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004784A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201216570
—
IN
Enumeration date
01/16/2014
Last updated
06/29/2022
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