MEDICARE: LINDSAY NICOLE RICH 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	71009562A	IN
2	363LA2100X	Acute Care Nurse Practitioner	71009562A	IN

General Provider Information

NPI Number	:	1326683210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY NICOLE RICH NP

Provider Business Mailing Address
First Line	:	PO BOX 781076
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48278-1076
Country	:	US
Telephone Number	:	317-528-4800
Fax Number	:	317-865-1479

Provider Business Practice Location Address
First Line	:	1199 HADLEY RD STE 100
Second Line	:
City	:	MOORESVILLE
State	:	IN
Zip	:	46158-1788
Country	:	US
Telephone Number	:	317-834-3263
Fax Number	:	317-834-5194

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

Provider Enumeration Date	:	11/14/2019
Last Update Date	:	05/05/2026

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