IndividualActive
Audrey Sanders
NPI 1770079774 · Medical Physician Assistant · Indianapolis, IN
Provider details
- NPI number
- 1770079774
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1500 N Ritter Ave
Indianapolis, IN 46219
Phone: (317) 355-5041
Approximate (ZIP-level) locationGet directions
Mailing address
1500 N Ritter Ave
Indianapolis, IN 46219-3027
Additional practice locations (2)
- 650 W Carmel Dr Ste 110Carmel, IN 46032-2502Phone: (317) 595-5698
- 518 E Lakeview RdStillwater, OK 74075-2825Phone: (405) 533-8990
Registry dates
- Enumerated
- 2018-07-03
- Last updated
- 2025-01-17
- Certified
- 2025-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.