Luessow, Angela
Luessow, Angela is an individual health care provider with primary practice located at 2040 N Shadeland Ave , Indi IN 46219-1734. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Luessow, Angela can be contacted via phone (317) 355-1800.Contact Information
Primary practice address
2040 N Shadeland Ave
Indi IN 46219-1734
Phone: (317) 355-1800
Fax: (317) 355-1803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71006396A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 71006396A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family | 364SP0810X | 71006396 | Indiana |
Profile Details
| NPI number | 1336693712 |
|---|---|
| LBN Legal business name | Luessow, Angela |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2016 |
| Last updated | Sep 24th, 2025 - about last year |
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 | 1336693712 | NPPES |
| Indiana | MEDICAID | 201381650 |
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