Healthcare Provider Details

I. General information

NPI: 1205725561
Provider Name (Legal Business Name): MICHALA ANN HIRL AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9894 E 121ST ST
FISHERS IN
46037-4154
US

IV. Provider business mailing address

6114 BARTLEY DR
NOBLESVILLE IN
46062-6490
US

V. Phone/Fax

Practice location:
  • Phone: 317-621-2273
  • Fax:
Mailing address:
  • Phone: 708-307-1286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number71016795A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: