Healthcare Provider Details

I. General information

NPI: 1578595120
Provider Name (Legal Business Name): CHRISTY R MCLAUGHLIN A.P.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 S 18TH ST STE C
LAFAYETTE IN
47905-1572
US

IV. Provider business mailing address

6291 CAMBRIDGE WAY STE 200
PLAINFIELD IN
46168-7905
US

V. Phone/Fax

Practice location:
  • Phone: 317-718-8436
  • Fax: 317-718-8438
Mailing address:
  • Phone: 317-718-8436
  • Fax: 317-718-8438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN7497
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN7497
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71004287A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: