ANU ABRAHAM ADE OWOFADEJU


Address: 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064
Phone: 3178656922

ANU ABRAHAM ADE OWOFADEJU (NPI# 1205444775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205444775
Entity Type Individual
Full Name ANU ABRAHAM ADE OWOFADEJU
Other Name ANU A OWOFADEJU
Credential NP
Practice Address 8820 S Meridian St Ste 225
Indianapolis
IN 46217-6064
Mailing Address 250 N Shadeland Ave Ste 200
Indianapolis
IN 46219-4959
Practice Telephone 3178656922
Enumeration Date 2020-07-21
Last Update Date 2020-09-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
28207520A IN Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
71010185A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8820 S MERIDIAN ST STE 225
City INDIANAPOLIS
State IN
Zip Code 46217-6064

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NPI Name Taxonomy Address Enumeration
1992318158 Maria Yvette Borden Student in an Organized Health Care Education/Training Program University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 2020-08-27
1457900375 Kara Combs Technician 8737 Winding Ridge Rd, Indianapolis, IN 46217 2019-09-04
1750789459 Stephanie Johnson Specialist/Technologist 8542 Gallant Fox Dr., Indianapolis, IN 46217 2014-12-11
1336480623 Lauren Marie Carter Nurse Practitioner 8970 S Meridian St., Indianapolis, IN 46217 2013-03-12
1912175662 Staci L Vanzant Social Worker 8820 N Meridian St, Ste 225, Indianapolis, IN 46217 2008-02-15
1568684934 Lifetime Dental Care of Indiana, PC Dentist 8923 South Meridian Street, Suite B, Indianapolis, IN 46217 2007-05-03
1912093659 Anna Marie Heidenreich Pharmacist 8820 S Meridian #105, Indianapolis, IN 46217 2006-10-04
1669955449 Jason Soultz Nurse Practitioner 1330 W Southport Rd, Indianapolis, IN 46217 2018-09-08
1649400896 Nakeeta Stansberry Nurse Practitioner 1330 W Southport Rd, Indianapolis, IN 46217 2009-07-22
1316083652 Linnea J. Nelson Family Medicine 6925 S Harding St, Suite B-1, Indianapolis, IN 46217 2007-01-30
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356959068 Indy Behavioral Health LLC Nurse Practitioner 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 2020-07-20
1376184556 Carrie Mefford Nurse Practitioner 5435 E 16th St, Indianapolis, IN 46218-4869 2019-09-30
1124599394 Adria Dawn Thornburgh Nurse Practitioner 6235 Forest View Dr, Indianapolis, IN 46260-4707 2018-12-16
1033693213 Katie Marie Feeney Nurse Practitioner Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 2018-09-24
1912453937 Andrew J Slaton Nurse Practitioner 1503 N Mitthoeffer Rd, Indianapolis, IN 46229-2425 2016-08-30
1528487659 Elise S Montoya Nurse Practitioner 9106 North Meridian Street, Suite 100, Indianapolis, IN 46260 2014-04-16
1982046587 Hillary A House Nurse Practitioner 2040 North Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 2013-07-24
1982936175 Krista Schwuchow Nurse Practitioner 3403 E Raymond St, Indianapolis, IN 46203-4744 2010-02-12
1730265356 Tammy Jo Bradford Nurse Practitioner 5251 S East St Ste 25b, Indianapolis, IN 46227-2061 2006-10-27
1538110184 Susan Marie Reul Nurse Practitioner 222 E Ohio St, Wulsin Bldg 7th Floor, Indianapolis, IN 46204-2193 2006-05-16
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Competitor

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City INDIANAPOLIS
Zip Code 46217

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Dataset Information

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.

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