1265077572 NPI number — TARA LYNETTE FLANAGAN WHNP-BC

Table of content: TARA LYNETTE FLANAGAN WHNP-BC (NPI 1265077572)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265077572 NPI number — TARA LYNETTE FLANAGAN WHNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLANAGAN
Provider First Name:
TARA
Provider Middle Name:
LYNETTE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
WHNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265077572
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4409 N COLLEGE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46205-1933
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-258-3027
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2629 WATERFRONT PARKWAY EAST DR STE 375
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46214-2026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-885-4200
Provider Business Practice Location Address Fax Number:
317-602-1611
Provider Enumeration Date:
11/11/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  104544879 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)