Organization · Type 2 NPI
Your Life Reimagined, LLC
Psychiatric/Mental Health Nurse Practitioner · Indianapolis, IN
NPI number
1376457630
Active
Practice location
3704 Ontario Cir
Indianapolis, IN 46268-1981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1376457630
Your Life Reimagined, LLC's National Provider Identifier is 1376457630, issued on Oct 1, 2026. 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 1, 2026.