Healthcare Provider Details

I. General information

NPI: 1801766050
Provider Name (Legal Business Name): YOUR HEALTH ALLIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6005 MILL OAK DR
NOBLESVILLE IN
46062-6410
US

IV. Provider business mailing address

6005 MILL OAK DR
NOBLESVILLE IN
46062-6410
US

V. Phone/Fax

Practice location:
  • Phone: 317-604-0101
  • Fax: 317-981-3808
Mailing address:
  • Phone: 317-604-0101
  • Fax: 317-981-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL POE
Title or Position: PRESIDENT
Credential:
Phone: 317-513-3705