HEDGEHOG PSYCHIATRIC NPI 1093760951

NPI Information

HEDGEHOG PSYCHIATRIC is a clinical nurse specialist in Indianapolis, IN. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. HEDGEHOG PSYCHIATRIC NPI is 1093760951. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8563 ZIONSVILLE RD
INDIANAPOLIS, IN
ZIP 46268-511
Phone: (317) 337-9967
Fax: (317) 337-9968

The provider's authorized official is Penni Fuqua .
The authorized official title is President/owner and has the following contact phone number (317) 337-9967.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 11/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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