Healthcare Provider Details

I. General information

NPI: 1912385485
Provider Name (Legal Business Name): GRETCHEN HUFFMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2015
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 S HARDING ST
INDIANAPOLIS IN
46221-1873
US

IV. Provider business mailing address

6626 E 75TH ST STE 500
INDIANAPOLIS IN
46250
US

V. Phone/Fax

Practice location:
  • Phone: 317-277-7100
  • Fax: 317-276-4028
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71005424A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: