Provider Demographics
NPI:1851013189
Name:PATEL, PRITI BABUBHAI (NP)
Entity Type:Individual
Prefix:MRS
First Name:PRITI
Middle Name:BABUBHAI
Last Name:PATEL
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 1:10077 PEPPER TREE LN
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-1284
Mailing Address - Country:US
Mailing Address - Phone:850-319-4355
Mailing Address - Fax:
Practice Address - Street 1:1119 KEYSTONE WAY STE 117C
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3356
Practice Address - Country:US
Practice Address - Phone:317-214-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71013033A363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care