Phillips, Andrea Faith

Phillips, Andrea Faith is an individual health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Phillips, Andrea Faith can be contacted via phone (317) 962-2082.

Contact Information

Primary practice address
1701 N Senate Blvd Indianapolis IN 46202-1239
Phone: (317) 962-2082
Fax: (317) 962-0585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28184780A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 71011923A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71011923A Indiana

Profile Details

NPI number 1275293979
LBN Legal business name Phillips, Andrea Faith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2021
Last updated Jun 12th, 2024 - about 6 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 1275293979 NPPES
Indiana Other 264430D65 MEDICARE
Indiana Other 000001635745 MEDICARE
Indiana MEDICAID 300058545 MEDICARE
Indiana Other Q00642883 MEDICARE

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