MILDRED SUE MCMANUS APRN C-FNP NPI 1346244258

NPI Information

NPI: 1346244258
Provider Name: MILDRED SUE MCMANUS, APRN C-FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1481 W 10TH ST
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 988-4273
Get Directions

Mildred Sue Mcmanus, APRN C-FNP is a family nurse practitioner in Indianapolis, IN. Mildred Sue Mcmanus, APRN C-FNP NPI is 1346244258. 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:

1481 W 10TH ST
INDIANAPOLIS, IN
ZIP 46202-803
Phone: (317) 988-4273
Fax: (317) 988-2171

The NPI 1346244258 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 6/8/2005 and was last updated on 3/7/2023.

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	363LF0000X	Nurse Practitioner	Family	AP 04246	LOUISIANA	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	28172656A	OTHER	INDIANA	RN LICENSE
2	AP04246	OTHER	LOUISIANA	LA SBON APRN LIC #
3	020489	OTHER	LOUISIANA	LA STATE BD NRS ID #
4	1178209	MEDICAID	LOUISIANA
5	71002372B	OTHER	INDIANA	CSR
6	71002372A	OTHER	INDIANA	NP REGISTRATION

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: 4/28/2024

NPI Synchronization or Removal

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