MEDICARE: AYEE TEAH BLEEMIE 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	363LF0000X	Family Nurse Practitioner	71010114A	IN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	71010114A	IN

General Provider Information

NPI Number	:	1457975740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYEE TEAH BLEEMIE NP

Provider Business Mailing Address
First Line	:	3015 S HOLT RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46221-2254
Country	:	US
Telephone Number	:	317-204-7600
Fax Number	:	317-342-5130

Provider Business Practice Location Address
First Line	:	ROUNDING PROVIDERS
Second Line	:	6326 CONSTITUTION DRIVE
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-4680
Country	:	US
Telephone Number	:	260-515-3275
Fax Number	:	888-803-6843

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

Provider Enumeration Date	:	06/02/2020
Last Update Date	:	02/21/2026

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