Harris, Susan M

Harris, Susan M is an individual health care provider with primary practice located at 8202 Clearvista Pkwy Suite 7A, Indianapolis IN 46256-1445. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Harris, Susan M can be contacted via phone (317) 621-6300.

Contact Information

Primary practice address
8202 Clearvista Pkwy Suite 7A Indianapolis IN 46256-1445
Fax: (317) 621-6310
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71000009A Indiana

Profile Details

NPI number 1508826207
LBN Legal business name Harris, Susan M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Nov 27th, 2023 - about 2 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 1508826207 NPPES
Indiana Other 000000655113 ANTHEM
Indiana Other 000000659326 ANTHEM
Indiana Other 000000655709 ANTHEM
Indiana Other 000000667919 ANTHEM
Indiana MEDICAID 200963890 ANTHEM

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