Individual provider · Type 1 NPI
Andrew Michael Ellenwood, FNP-C
Nurse Practitioner · Fishers, IN
Practice location
11594 Whistle Dr
Fishers, IN 46037-0054
Fax (317) 706-3417
Mailing address
29943 Network Pl
Chicago, IL 60673-1299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71005903A (IN) |
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 1689044117
Andrew Michael Ellenwood, FNP-C's National Provider Identifier is 1689044117, issued on Sep 27, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fishers, IN. The record was last updated on Nov 18, 2025.