Organization · Type 2 NPI
Macnificent Minds
Psychiatric/Mental Health Nurse Practitioner · Indianapolis, IN
NPI number
1073497574
Active
Practice location
4333 Village Trace Ct
Indianapolis, IN 46254-6232
Fax (317) 342-8372
Mailing address
3410 N High School Rd Ste G
Indianapolis, IN 46224-1100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1073497574
Macnificent Minds's National Provider Identifier is 1073497574, issued on Aug 5, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 8, 2026.