Provider Demographics
NPI:1255580635
Name:DEWITT, ANNETTE L (NP)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:L
Last Name:DEWITT
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Gender:F
Credentials:NP
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Mailing Address - Street 1:9333 N MERIDIAN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1872
Mailing Address - Country:US
Mailing Address - Phone:317-580-9333
Mailing Address - Fax:317-818-8933
Practice Address - Street 1:9333 N MERIDIAN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1872
Practice Address - Country:US
Practice Address - Phone:317-580-9333
Practice Address - Fax:317-818-8933
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
IN71002555A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily