MEDICARE: DR. MARIE FRANCE PIERRE BAPTISTIN PHYSICIAN ASSISTANT

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	363A00000X	Physician Assistant	10004948A	IN
2	363A00000X	Physician Assistant	1635	PR
3	363A00000X	Physician Assistant	10426	AZ

General Provider Information

NPI Number	:	1023824513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE FRANCE PIERRE BAPTISTIN PHYSICIAN ASSISTANT

Provider Business Mailing Address
First Line	:	3850 SHORE DR STE 315
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-4693
Country	:	US
Telephone Number	:	317-491-0061
Fax Number	:	317-222-1953

Provider Business Practice Location Address
First Line	:	3850 SHORE DR STE 315
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-4693
Country	:	US
Telephone Number	:	317-429-0061
Fax Number	:

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

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	01/11/2026

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