Individual
JOHN FREELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, ATTN: DIANN LYDELL-JONES CHIEF 4TH FLR. OB ANESTHESIA, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
(317) 621-7884
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28132906A
IN
367500000X
Certified Registered Nurse Anesthetist
COA06807NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000476067
ANTHEM - SIA
IN
05
—
200811980
—
IN
05
—
2294253
—
OH
Enumeration date
03/31/2006
Last updated
02/19/2020
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