Ardeel-Sullivan, Debra Ann

Ardeel-Sullivan, Debra Ann is an individual health care provider with primary practice located at 8177 Clearvista Pkwy , Indianapolis IN 46256-1662. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family Health is her primary health care specialty. Ardeel-Sullivan, Debra Ann can be contacted via phone (317) 621-7801.

Contact Information

Primary practice address
8177 Clearvista Pkwy Indianapolis IN 46256-1662
Phone: (317) 621-7801
Fax: (317) 621-7205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 71000233A Indiana
Nursing Service Providers / Registered Nurse 163W00000X 71000233B Indiana

Profile Details

NPI number 1538152244
LBN Legal business name Ardeel-Sullivan, Debra Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2005
Last updated Nov 27th, 2023 - about 3 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 1538152244 NPPES
Indiana MEDICAID 200279630

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