Healthcare Provider Details

I. General information

NPI: 1003075912
Provider Name (Legal Business Name): MONICA SILVIA OCLANDER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 06/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ACTION HEALTH CENTER 2868 N. PENNSYLVANIA STREET
INDIANAPOLIS IN
46205
US

IV. Provider business mailing address

2625 N MERIDIAN ST APT. 901
INDIANAPOLIS IN
46208-7701
US

V. Phone/Fax

Practice location:
  • Phone: 317-221-3532
  • Fax: 317-221-3516
Mailing address:
  • Phone: 317-536-1895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number71001129C
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number71001129A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: