Healthcare Provider Details
I. General information
NPI: 1952980575
Provider Name (Legal Business Name): ERIN NACEV MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/02/2021
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
720 ESKENAZI AVE
INDIANAPOLIS IN
46202-5187
US
IV. Provider business mailing address
250 N SHADELAND AVE
INDIANAPOLIS IN
46219-4959
US
V. Phone/Fax
- Phone: 317-880-6000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD216457 |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 01100466A |
| License Number State | IN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083A0300X |
| Taxonomy | Addiction Medicine (Preventive Medicine) Physician |
| License Number | 01100466A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: