Healthcare Provider Details

I. General information

NPI: 1477470748
Provider Name (Legal Business Name): MICHELLE EURIGA RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 W 150 S
TIPTON IN
46072-8764
US

IV. Provider business mailing address

3417 W 150 S
TIPTON IN
46072-8764
US

V. Phone/Fax

Practice location:
  • Phone: 317-702-8830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number28202945C
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: