Individual
HEIDI JEANENE PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-0275
(317) 274-0256
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
71012576A
IN
363AM0700X
Medical Physician Assistant
71012576A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012576A
IN
Other
Enumeration date
05/24/2022
Last updated
09/06/2022
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