Individual provider · Type 1 NPI

Susan Rivers Mulanax, NP

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1871419929 Active

Practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X71018330A (IN)
Acute Care Nurse Practitioner 363LA2100X71018330A (IN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1871419929

Susan Rivers Mulanax, NP's National Provider Identifier is 1871419929, issued on Jun 24, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 5, 2026.