Healthcare Provider Details

I. General information

NPI: 1114831104
Provider Name (Legal Business Name): HANNAH EDWARDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8402 HARCOURT RD
INDIANAPOLIS IN
46260-2074
US

IV. Provider business mailing address

1431 SIERRA SPGS
CARMEL IN
46280-2708
US

V. Phone/Fax

Practice location:
  • Phone: 317-396-1300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28256680A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: