IndividualActive
Andrea Stafford, CPNP-PC
NPI 1629258173 · Pediatric Nurse Practitioner · Indianapolis, IN
Provider details
- NPI number
- 1629258173
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 71006135A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8040 Clearvista Pkwy
Ste 460
Indianapolis, IN 46256-5630
Phone: (317) 621-2660
Fax: (317) 621-1535
Approximate (ZIP-level) locationGet directions
Mailing address
6626 E 75th St
Indianapolis, IN 46250-2805
Additional practice locations (1)
- 11700 N Meridian StCarmel, IN 46032-4656Phone: (317) 944-4681Fax: (317) 944-9740
Registry dates
- Enumerated
- 2007-11-13
- Last updated
- 2024-11-06
- Certified
- 2024-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.