MEDICARE: NATALIE M SPERRY 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	363LP2300X	Primary Care Nurse Practitioner	71006484B	IN

General Provider Information

NPI Number	:	1710348578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE M SPERRY NP

Provider Business Mailing Address
First Line	:	CARMEL, IN 46032
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032
Country	:	US
Telephone Number	:	317-559-2185
Fax Number	:

Provider Business Practice Location Address
First Line	:	9503 E 33RD ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-4207
Country	:	US
Telephone Number	:	317-972-7000
Fax Number	:

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

Provider Enumeration Date	:	03/08/2016
Last Update Date	:	10/04/2021

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