Bulk check

Andrea Nicole Banet, PA-C

Physician Assistant, Medical in Indianapolis, IN. Individual provider (NPI-1).

NPI number1396903241
StatusActive
Last updated in NPPESFeb 10, 2025

Details

NPI
1396903241
Entity type
Individual (NPI-1)
Name
Andrea Nicole Banet
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
May 28, 2008
Certification date
Feb 10, 2025
Last updated
Feb 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical10002134AINYes
207XX0005X Orthopaedic Surgery, Sports Medicine36001457AIN
363AS0400X Physician Assistant, Surgical10002134AIN

Other names

  • Andrea Nicole Clifford (Former Name)

Practice location

550 University Blvd
Suite 1295
Indianapolis, IN 46202-5149

Phone 317-944-9400 · Fax 317-944-5645

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Phone 888-484-3258

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant, Medical providers in Indianapolis, IN

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check