Cleveland, Vicki A

Cleveland, Vicki A is an individual health care provider with primary practice located at 5150 Shelbyville Rd , Indianapolis IN 46237-2601. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Cleveland, Vicki A can be contacted via phone (317) 782-1577.

Contact Information

Primary practice address
5150 Shelbyville Rd Indianapolis IN 46237-2601
Phone: (317) 782-1577
Fax: (888) 392-3210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28129743A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001372A Indiana

Profile Details

NPI number 1588653695
LBN Legal business name Cleveland, Vicki A
Credentials APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jun 12th, 2014 - about 10 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 1588653695 NPPES
Indiana Other 000000351107 ANTHEM
Indiana MEDICAID 200382080A ANTHEM
Indiana Other 500027595 ANTHEM

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