PRUDENCE I TWIGG NPI 1609867563

NPI Information

NPI: 1609867563
Provider Name: PRUDENCE I TWIGG
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
3834 S EMERSON AVE
BUILDING C, SUITE 100
INDIANAPOLIS, IN
ZIP 46203
Phone: (317) 782-1577
Get Directions

Prudence I Twigg is an adult health nurse practitioner in Indianapolis, IN. Prudence I Twigg NPI is 1609867563. 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:

3834 S EMERSON AVE
BUILDING C, SUITE 100
INDIANAPOLIS, IN
ZIP 46203
Phone: (317) 782-1577
Fax: (317) 780-5539

The enumeration date for this NPI number is 10/31/2005 and was last updated on 8/2/2018.

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		28105420A	INDIANA	No
2	363L00000X	Nurse Practitioner		71000480A	INDIANA	No
3	363LA2200X	Nurse Practitioner	Adult Health	71000480A	INDIANA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200195530A	MEDICAID	INDIANA

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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