Phelps, Andrea

Phelps, Andrea is an sole proprietor health care provider with primary practice located at 2054 Coldwater Ct , Indianapolis IN 46239-8702. She recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as her primary health care specialty. Phelps, Andrea can be contacted via phone (317) 679-1336.

Contact Information

Primary practice address
2054 Coldwater Ct Indianapolis IN 46239-8702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X 24-017159-1 Indiana

Profile Details

NPI number 1932949427
LBN Legal business name Phelps, Andrea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2024
Last updated May 30th, 2024 - about 7 months 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 1932949427 NPPES
Indiana Other 24-017159-1 PERSONAL SERVICES AGENCY LICENSE

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