Smallwood, Audra Marie

Smallwood, Audra Marie is an individual health care provider with primary practice located at 720 Eskenazi Ave , Indianapolis IN 46202-5187. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Smallwood, Audra Marie can be contacted via phone (317) 880-7666.

Contact Information

Primary practice address
720 Eskenazi Ave Indianapolis IN 46202-5187
Phone: (317) 880-7666
Fax: (317) 880-0448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28244569A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 71014396A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71014396A Indiana

Profile Details

NPI number 1083492532
LBN Legal business name Smallwood, Audra Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2023
Last updated Apr 25th, 2024 - 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.

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