Provider Demographics
NPI:1437286184
Name:DRESSEL, AUDREY O (FNP)
Entity Type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:O
Last Name:DRESSEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:AUDREY
Other - Middle Name:ELLEN
Other - Last Name:DRESSEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:3426 MOUNDS RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46017-1873
Mailing Address - Country:US
Mailing Address - Phone:765-641-7697
Mailing Address - Fax:
Practice Address - Street 1:6027 CASTLEBAR CIR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-4107
Practice Address - Country:US
Practice Address - Phone:615-573-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71005355363LF0000X
TNRN111511363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN721823NOtherNORCAL MUTUAL GROUP
TN3349226Medicare ID - Type UnspecifiedMEDICARE