Twigg, Prudence I

Twigg, Prudence I is an individual health care provider with primary practice located at 3834 S Emerson Ave Building C, Suite 100, Indianapolis IN 46203. She recently has 3 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 / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Twigg, Prudence I can be contacted via phone (317) 782-1577.

Contact Information

Primary practice address
3834 S Emerson Ave Building C, Suite 100 Indianapolis IN 46203
Phone: (317) 782-1577
Fax: (317) 780-5539
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28105420A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000480A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71000480A Indiana

Profile Details

NPI number 1609867563
LBN Legal business name Twigg, Prudence I
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Aug 2nd, 2018 - about 6 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 1609867563 NPPES
Indiana MEDICAID 200195530A

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