MEDICARE: AMBER N GULLION NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	71003247A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M38018009	OTHER	IN	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013230911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER N GULLION NP

Provider Business Mailing Address
First Line	:	2201 E 46TH ST STE 172
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-1449
Country	:	US
Telephone Number	:	317-370-0085
Fax Number	:	317-647-4426

Provider Business Practice Location Address
First Line	:	2201 E 46TH ST STE 172
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-1449
Country	:	US
Telephone Number	:	317-370-0085
Fax Number	:	317-722-2639

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2010
Last Update Date	:	08/14/2025

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Directions to “ AMBER N GULLION NP” Practice Location

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