Provider Demographics
NPI:1982290078
Name:BIXLER, NANCY MARIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:MARIA
Last Name:BIXLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11750 COMMERCIAL DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2903
Mailing Address - Country:US
Mailing Address - Phone:317-845-4962
Mailing Address - Fax:
Practice Address - Street 1:11750 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2903
Practice Address - Country:US
Practice Address - Phone:317-845-4962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017962A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist