MALLORY LEE ANSLOW (NPI# 1386244176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386244176 |
Entity Type | Individual |
Full Name | MALLORY LEE ANSLOW |
Credential | APRN, FNP-C |
Practice Address |
10641 Deercrest Ln Indianapolis IN 46239-9690 |
Practice Telephone | 3179664708 |
Mailing Telephone | 3179664708 |
Enumeration Date | 2020-10-29 |
Last Update Date | 2020-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28193934A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10641 DEERCREST LN |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46239-9690 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184223075 | Hope Transitional Services LLC | Behavioral Analyst | 10737 Jimmy Lake Dr, Indianapolis, IN 46239 | 2020-10-21 |
1750854873 | Brooke Stevenson | Student in an Organized Health Care Education/Training Program | 8431 Redfern South Drive, Indianapolis, IN 46239 | 2019-01-11 |
1316429764 | Rachel Rutledge | Occupational Therapist | 10335 Corydon Ct, Indianapolis, IN 46239 | 2018-09-02 |
1073042404 | Hearst Contracting Services Ltd | Transportation Broker | 8655 Shadow Ridge Lane, G, Indianapolis, IN 46239 | 2017-06-08 |
1033514880 | Deanna Warren | Behavioral Analyst | 8355 Chesterhill Lane, Indianapolis, IN 46239 | 2014-10-22 |
1972851566 | Breathing Space, Inc | Clinic/Center | 8627 Blue Marlin Drive, Indianapolis, IN 46239 | 2012-08-29 |
1831355668 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 7935 Brookville Road, Indianapolis, IN 46239 | 2008-07-31 |
1780702407 | James Bryant Wines | Dentist | 3416 S Post Rd, Suite C, Indpls, IN 46239 | 2007-03-27 |
1699223461 | World Changing Nurses | Voluntary or Charitable | 1030 S Mitchner Ave, Indianapolis, IN 46239-1160 | 2016-09-21 |
1700892155 | Ardis Conrad Melloh | Dentist | 7101 Southeastern Ave, Indianapolis, IN 46239-1207 | 2006-07-31 |
Find all providers in zip 46239 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922614965 | Children Express Care Clinic LLC | Nurse Practitioner | 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 | 2020-09-16 |
1255956272 | Heather Nicole Zore | Nurse Practitioner | 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 | 2020-06-15 |
1457976615 | Adam Weir | Nurse Practitioner | 960 E Washington St, Indianapolis, IN 46202-3981 | 2020-06-13 |
1457975740 | Ayee Teah Bleemie | Nurse Practitioner | 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 | 2020-06-02 |
1689294357 | May Josefa Ishikawa | Nurse Practitioner | 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 | 2020-04-22 |
1760001200 | John Shaver | Nurse Practitioner | 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 | 2020-04-14 |
1851931000 | Robin L Petit | Nurse Practitioner | 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 | 2020-01-15 |
1952941577 | Andreya Beckett | Nurse Practitioner | 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 | 2020-01-11 |
1053950105 | Shannon Malecki | Nurse Practitioner | 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 | 2020-01-06 |
1023651072 | Shawnta Crayton | Nurse Practitioner | 5401 S East St Ste 103, Indianapolis, IN 46227-2076 | 2019-10-22 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46239 |
Please comment or provide details below to improve the information on MALLORY LEE ANSLOW.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.