Individual
HEATHER M RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
915 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1443
(765) 463-5252
(765) 463-2289
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28147491A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71002707A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001175712
ANTHEM
—
05
—
200911060
—
IN
Enumeration date
04/15/2008
Last updated
01/09/2026
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