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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 1215971833 NPPES
Indiana MEDICAID 200119010
Indiana Other 000000335051

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