Organization · Type 2 NPI

Proactive Clinical Partners

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1366934242 Active · reactivated Dec 19, 2025

Practice location

8455 Keystone Xing Ste 300
Indianapolis, IN 46240-4353

Fax (317) 969-6727

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700XNone listed
Gerontology Nurse Practitioner Primary 363LG0600XNone listed

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1366934242

Proactive Clinical Partners's National Provider Identifier is 1366934242, issued on Jun 5, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on May 14, 2026.