Provider Demographics
NPI:1386041853
Name:SALYER, ANNAMARIE L (NP)
Entity Type:Individual
Prefix:
First Name:ANNAMARIE
Middle Name:L
Last Name:SALYER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 N PENNSYLVANIA ST.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4694
Mailing Address - Country:US
Mailing Address - Phone:317-663-7123
Mailing Address - Fax:317-587-0496
Practice Address - Street 1:11900 N PENNSYLVANIA ST.
Practice Address - Street 2:SUITE 200
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4603
Practice Address - Country:US
Practice Address - Phone:317-663-7123
Practice Address - Fax:317-587-0496
Is Sole Proprietor?:No
Enumeration Date:2014-11-29
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9388048363LF0000X
IN71005403A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201277480Medicaid
INP01512525OtherRR MEDICARE
IN266180512Medicare PIN