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
Fax: (317) 355-1803
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336693712 NPPES
Indiana MEDICAID 201381650

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