Healthcare Provider Details

I. General information

NPI: 1578974648
Provider Name (Legal Business Name): AMBER SAFFEN RN, MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS AMBER THOMPSON

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11591 OLIO RD
FISHERS IN
46037-7613
US

IV. Provider business mailing address

7240 E 82ND ST
INDIANAPOLIS IN
46256-1404
US

V. Phone/Fax

Practice location:
  • Phone: 317-585-2702
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28178432A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: