Organization · Type 2 NPI

Burgeoning Health Providers

Psychiatric/Mental Health Nurse Practitioner · Indianapolis, IN

NPI number 1972136919 Active

Practice location

646 Massachusetts Ave
Indianapolis, IN 46204-1607

Call (317) 659-5095 Map

Fax (317) 350-0043

Mailing address

2345 N Alabama St
Indianapolis, IN 46205-4320

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1972136919

Burgeoning Health Providers's National Provider Identifier is 1972136919, issued on Feb 18, 2020. 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 Sep 11, 2021.