NPI 1043622533 · live from the CMS NPI Registry
Loraine Ruth Condrey, APRN
Nurse Practitioner, Pediatrics in Indianapolis, IN. National Provider Identifier 1043622533, active.
NPI record
| NPI | 1043622533 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 8402 Harcourt Rd Ste 400, Indianapolis, IN 46260 |
| Practice phone | 317-338-6815 |
| Enumerated | June 2, 2014 |
| Last updated | March 19, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 3009488 (KY) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 71004910A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.