NP Corby Louise Thiel, NPI 1952370991
Family Nurse Practitioner in Lafayette, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1952370991
NPI Entity Type Individual
Provider Name NP Corby Louise Thiel
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1116 N 16th St, Lafayette, IN, US
Provider Mailing Address 1040 Sierra Dr Ste 400, Greenwood, IN, US, 461437241
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LF0000X

Taxonomy Name Family Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 71001362A
License State IN
Description Definition to come...

Business Address

NP Corby Louise Thiel
1116 N 16th St

Lafayette, IN, US

Phone: 765-428-5850
Fax: 765-428-5851

Mailing Address

NP Corby Louise Thiel
1040 Sierra Dr Ste 400
Greenwood, IN, US
ZIP 461437241
Phone: 317-528-4800
Fax: 317-865-1479

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363LP2300X

Physician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

71001362A IN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000000300074 IN ANTHEM PROVIDER NUMBER 01
200388070 IN MEDICAID 05
9397705 IN PHCS PID NUMBER 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] DIRECT No 1116 N 16th St, Lafayette, IN, US

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