Healthcare Provider Details

I. General information

NPI: 1962871301
Provider Name (Legal Business Name): ANNETTE JOELENE OECHSLE RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2015
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 SOUTH COUNTY ROAD 525 EAST
AVON IN
46123
US

IV. Provider business mailing address

1820 SOUTH COUNTY ROAD 525 EAST
AVON IN
46123
US

V. Phone/Fax

Practice location:
  • Phone: 317-718-9820
  • Fax:
Mailing address:
  • Phone: 317-718-9820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number28098999A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: