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NPI Code Detail

MEDICARE: GRETCHEN HUFFMAN NP

MEDICARE:   GRETCHEN  HUFFMAN  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 Practitioner71005424AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01512411OTHERINRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912385485
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETCHEN HUFFMAN NP
Provider Business Mailing Address
First Line : 6626 E 75TH ST
Second Line : STE 500
City : INDIANAPOLIS
State : IN
Zip : 46250
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1555 S HARDING ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46221-1873
Country : US
Telephone Number : 317-277-7100
Fax Number : 317-276-4028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2015
Last Update Date : 12/10/2025

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