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NPI Code Detail

MEDICARE: HARLEIGH GROSS NP

MEDICARE: HARLEIGH GROSS 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
1363LP0200XPediatric Nurse Practitioner71017425AIN
2163W00000XRegistered Nurse28259053AIN

General Provider Information

NPI Number : 1528890365
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARLEIGH GROSS NP
Provider Business Mailing Address
First Line : 3400 LAFAYETTE RD STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-1147
Country : US
Telephone Number : 317-291-7422
Fax Number : 317-291-7433
Provider Business Practice Location Address
First Line : 3400 LAFAYETTE RD STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-1147
Country : US
Telephone Number : 317-291-7422
Fax Number : 317-291-7433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2024
Last Update Date : 12/10/2025

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Directions to “ HARLEIGH GROSS NP” Practice Location

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