Witzmann, Angela Rena
Witzmann, Angela Rena is an individual health care provider with primary practice located at 1522 W Morris St , Indianapolis IN 46221-1629. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Witzmann, Angela Rena can be contacted via phone (317) 957-2500.Contact Information
Primary practice address
1522 W Morris St
Indianapolis IN 46221-1629
Phone: (317) 957-2500
Fax: (317) 957-2520
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 70000076A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 70000076A | Indiana |
Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 28110617A | Indiana |
Profile Details
NPI number | 1215971833 |
---|---|
LBN Legal business name | Witzmann, Angela Rena |
Credentials | CNS/APRN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Nov 27th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215971833 | NPPES |
Indiana | MEDICAID | 200119010 | |
Indiana | Other | 000000335051 |
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