Healthcare Provider Details

I. General information

NPI: 1982526505
Provider Name (Legal Business Name): MARIA MELANY MARTINEZ CERVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 SUNNYSIDE RD
INDIANAPOLIS IN
46236-9707
US

IV. Provider business mailing address

6738 EQUESTRIAN LN
INDIANAPOLIS IN
46260-6429
US

V. Phone/Fax

Practice location:
  • Phone: 317-827-0833
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71018422A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: