Individual
HILLARY A HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2040 NORTH SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46219-1734
(317) 355-1800
(317) 355-1803
Mailing address
6626 E 75TH STREET, STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71004469A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000834769
ANTHEM BCBS
IN
05
—
201184680
—
IN
Enumeration date
07/24/2013
Last updated
11/27/2023
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