IndividualActive
Cassidy Mumbower, PA-C
NPI 1639951098 · Medical Physician Assistant · Indianapolis, IN
Provider details
- NPI number
- 1639951098
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10004330A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Phone: (317) 574-4747
Approximate (ZIP-level) locationGet directions
Mailing address
9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Additional practice locations (1)
- 9240 N Meridian St Ste 140Indianapolis, IN 46260-2368Phone: (317) 875-0084Fax: (317) 876-5580
Registry dates
- Enumerated
- 2023-10-19
- Last updated
- 2025-12-26
- Certified
- 2025-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.