Healthcare Provider Details

I. General information

NPI: 1346672714
Provider Name (Legal Business Name): ANNA N ERTEL RN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8111 S EMERSON AVE SUITE 101
INDIANAPOLIS IN
46237-8601
US

IV. Provider business mailing address

106 WHITE OAK DR
BATESVILLE IN
47006-7615
US

V. Phone/Fax

Practice location:
  • Phone: 317-859-5252
  • Fax: 317-859-5258
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71004551A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number71004551A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: