Healthcare Provider Details

I. General information

NPI: 1437029188
Provider Name (Legal Business Name): LINDSAY MARIE MAZURKIEWICZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9650 E WASHINGTON ST STE 225
INDIANAPOLIS IN
46229-3032
US

IV. Provider business mailing address

12342 BLUE SPRINGS LN
FISHERS IN
46037-4053
US

V. Phone/Fax

Practice location:
  • Phone: 317-890-5596
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71017496A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number28210655
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: