MEDICARE: JULIE AREBUN-AKHIMIEN

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	363LA2200X	Adult Health Nurse Practitioner	71012357A	IN
2	363LG0600X	Gerontology Nurse Practitioner	71012357A	IN
3	363LP2300X	Primary Care Nurse Practitioner	71012357A	IN

General Provider Information

NPI Number	:	1457069924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE AREBUN-AKHIMIEN

Provider Business Mailing Address
First Line	:	675 JUSTICE WAY
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203-1574
Country	:	US
Telephone Number	:	317-327-1711
Fax Number	:

Provider Business Practice Location Address
First Line	:	675 JUSTICE WAY
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203-1574
Country	:	US
Telephone Number	:	317-327-1711
Fax Number	:

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

Provider Enumeration Date	:	11/14/2022
Last Update Date	:	11/14/2022

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