Healthcare Provider Details

I. General information

NPI: 1932045366
Provider Name (Legal Business Name): MANPINDER KAUR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9240 N MERIDIAN ST STE 140
INDIANAPOLIS IN
46260-2368
US

IV. Provider business mailing address

9011 N MERIDIAN ST STE 225
INDIANAPOLIS IN
46260-5365
US

V. Phone/Fax

Practice location:
  • Phone: 317-875-0084
  • Fax: 317-876-5580
Mailing address:
  • Phone: 317-574-4747
  • Fax: 317-574-4737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number28251332A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: