Healthcare Provider Details

I. General information

NPI: 1689425928
Provider Name (Legal Business Name): NP ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

948 BRIGHT BEAM CT
WESTFIELD IN
46074
US

IV. Provider business mailing address

948 BRIGHT BEAM CT
WESTFIELD IN
46074
US

V. Phone/Fax

Practice location:
  • Phone: 317-437-0599
  • Fax:
Mailing address:
  • Phone: 317-437-0599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. NICOLE O'ROURKE
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 317-437-0599