Ardeel-Sullivan, Debra Ann
Ardeel-Sullivan, Debra Ann is an individual health care provider with primary practice located at 8177 Clearvista Pkwy , Indianapolis IN 46256-1662. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family Health is her primary health care specialty. Ardeel-Sullivan, Debra Ann can be contacted via phone (317) 621-7801.Contact Information
Primary practice address
8177 Clearvista Pkwy
Indianapolis IN 46256-1662
Phone: (317) 621-7801
Fax: (317) 621-7205
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family Health | 364SF0001X | 71000233A | Indiana |
Nursing Service Providers / Registered Nurse | 163W00000X | 71000233B | Indiana |
Profile Details
NPI number | 1538152244 |
---|---|
LBN Legal business name | Ardeel-Sullivan, Debra Ann |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 27th, 2005 |
Last updated | Nov 27th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538152244 | NPPES |
Indiana | MEDICAID | 200279630 |
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