Nottingham, Sue Ellyn

Nottingham, Sue Ellyn is an individual health care provider with primary practice located at 11530 Allisonville Rd Ste 100 , Fishers IN 46038-1862. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nottingham, Sue Ellyn can be contacted via phone (317) 415-5900.

Contact Information

Primary practice address
11530 Allisonville Rd Ste 100 Fishers IN 46038-1862
Phone: (317) 415-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000515 Indiana

Profile Details

NPI number 1891853644
LBN Legal business name Nottingham, Sue Ellyn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Oct 26th, 2017 - about 9 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 1891853644 NPPES
Indiana MEDICAID 200252080
Indiana Other 000000666143

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