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NPI Code Detail

MEDICARE: DEBRA ANN ARDEEL-SULLIVAN NP

MEDICARE: DEBRA ANN ARDEEL-SULLIVAN 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
1364SF0001XFamily Health Clinical Nurse Specialist71000233AIN
2163W00000XRegistered Nurse71000233BIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538152244
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA ANN ARDEEL-SULLIVAN NP
Provider Business Mailing Address
First Line : 6626 E 75TH ST
Second Line : SUITE 500
City : INDIANAPOLIS
State : IN
Zip : 46250-2805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8177 CLEARVISTA PKWY
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1662
Country : US
Telephone Number : 317-621-7801
Fax Number : 317-621-7205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2005
Last Update Date : 11/27/2023

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