MEDICARE: ANNIKA COWHERD

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
1	251E00000X	Home Health Agency	300073369	IN

General Provider Information

NPI Number	:	1902592660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIKA COWHERD

Provider Business Mailing Address
First Line	:	1206 N DEARBORN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-2211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1206 N DEARBORN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-2211
Country	:	US
Telephone Number	:	317-772-6270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2023
Last Update Date	:	04/14/2023

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Directions to “ ANNIKA COWHERD ” Practice Location

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