Healthcare Provider Details

I. General information

NPI: 1841212388
Provider Name (Legal Business Name): ANGELA ZELLER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10590 N MERIDIAN ST STE 310
CARMEL IN
46290-1028
US

IV. Provider business mailing address

10590 N MERIDIAN ST STE 310
CARMEL IN
46290-1028
US

V. Phone/Fax

Practice location:
  • Phone: 317-338-6666
  • Fax: 317-583-6208
Mailing address:
  • Phone: 317-338-6666
  • Fax: 317-583-6208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10000457A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: