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NPI Code Detail

MEDICARE: ELIZABETH COULSON NP

MEDICARE: ELIZABETH COULSON NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71014182AIN
2363LF0000XFamily Nurse PractitionerR45510ND

General Provider Information

NPI Number : 1487251930
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH COULSON NP
Provider Business Mailing Address
First Line : 9 MUNICIPAL DR UNIT 214
Second Line :
City : FISHERS
State : IN
Zip : 46038-1622
Country : US
Telephone Number : 217-251-8182
Fax Number :
Provider Business Practice Location Address
First Line : 201 N ILLINOIS ST STE 110
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46204-4293
Country : US
Telephone Number : 317-948-6161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2020
Last Update Date : 12/09/2025

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