Healthcare Provider Details

I. General information

NPI: 1972592665
Provider Name (Legal Business Name): AMY MICHELLE STEFFY ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY GAINER

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W 86TH ST
INDIANAPOLIS IN
46260-1902
US

IV. Provider business mailing address

250 W 96TH ST
INDIANAPOLIS IN
46260-1316
US

V. Phone/Fax

Practice location:
  • Phone: 317-338-2345
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number71001640A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: