MARIAN GAIDA DUSELIS NP NPI 1124615695

NPI Information

NPI: 1124615695
Provider Name: MARIAN GAIDA DUSELIS, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1801 N SENATE BLVD STE 635
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 963-1400
Get Directions

Marian Gaida Duselis, NP is a gerontology nurse practitioner in Indianapolis, IN with 4 years of experience. Marian Gaida Duselis, NP NPI is 1124615695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1801 N SENATE BLVD STE 635
INDIANAPOLIS, IN
ZIP 46202-212
Phone: (317) 963-1400
Fax: (317) 963-1453

The NPI 1124615695 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/30/2020 and was last updated on 4/18/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		28191443A	INDIANA	No
2	363LG0600X	Nurse Practitioner	Gerontology	71010705A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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