Organization · Type 2 NPI

Prohealth NP

Nurse Practitioner · Indianapolis, IN

NPI number 1386525640 Active

Practice location

21 Beachway Dr Ste A
Indianapolis, IN 46224-8504

Fax (888) 483-1030

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1386525640

Prohealth NP's National Provider Identifier is 1386525640, issued on Sep 11, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 11, 2025.