Healthcare Provider Details

I. General information

NPI: 1437286184
Provider Name (Legal Business Name): AUDREY O DRESSEL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AUDREY ELLEN DRESSEL APRN-BC

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 10/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6027 CASTLEBAR CIR
INDIANAPOLIS IN
46220-4107
US

IV. Provider business mailing address

3426 MOUNDS RD
ANDERSON IN
46017-1873
US

V. Phone/Fax

Practice location:
  • Phone: 615-573-2670
  • Fax:
Mailing address:
  • Phone: 765-641-7697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71005355
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN111511
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: