Healthcare Provider Details

I. General information

NPI: 1942121231
Provider Name (Legal Business Name): SOMER RENE KANTZ-HARDMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5908 E STOP 11 RD
INDIANAPOLIS IN
46237-8683
US

IV. Provider business mailing address

6626 E 75TH ST STE 500
INDIANAPOLIS IN
46250-2890
US

V. Phone/Fax

Practice location:
  • Phone: 317-497-6800
  • Fax: 317-497-6801
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71018505A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: