Individual
REAGAN E HIRSCHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3500
(317) 217-3551
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008816A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266430768
MEDICARE PTAN
IN
01
—
267030129
MEDICARE PTAN
IN
05
—
300024040
—
IN
01
—
P02565818
RAILROAD PTAN
IN
01
—
Q00041524
RAILROAD PTAN
IN
Enumeration date
03/05/2019
Last updated
02/23/2024
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