Organization · NPI-2

A1c Diabetic Education INC

Nurse Practitioner, Family · Indianapolis, IN

NPI number1861230211
StatusActive
Last updated in NPPESJun 26, 2025

Details

NPI
1861230211
Entity type
Organization (NPI-2)
Legal business name
A1c Diabetic Education INC
Organization subpart
No
Enumeration date
Jul 18, 2024
Certification date
Jun 26, 2025
Last updated
Jun 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes

Practice location

6330 E 75th St Ste 148
Indianapolis, IN 46250-2717

Phone 317-537-9522 · Fax 317-219-0550

Mailing address

6330 E 75th St Ste 148
Indianapolis, IN 46250-2717

Phone 317-537-9522

Other practice locations

3100 W Central Ave Ste 235
Toledo, OH 43606-2957

Phone 317-828-7517

Authorized official

Richard Graves
Ceo
3178287517

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