Anderson, Trista Michelle

Anderson, Trista Michelle is an individual health care provider with primary practice located at 1550 E. County Line Road Suite 300, Indianapolis IN 46227-0990. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Anderson, Trista Michelle can be contacted via phone (317) 497-2300.

Contact Information

Primary practice address
1550 E. County Line Road Suite 300 Indianapolis IN 46227-0990
Phone: (317) 497-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 28168862A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004062A Indiana

Profile Details

NPI number 1689934895
LBN Legal business name Anderson, Trista Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2012
Last updated Apr 8th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689934895 NPPES
Indiana Other P01316451 MEDICARE RR PTAN
Indiana MEDICAID 201082150 MEDICARE RR PTAN

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