Provider Demographics
NPI:1053614693
Name:MILLI, ABBEY (NP)
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:
Last Name:MILLI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ABBEY
Other - Middle Name:D
Other - Last Name:HENDRIXSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:4745 STATESMEN DR STE A
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-5649
Mailing Address - Country:US
Mailing Address - Phone:317-844-2990
Mailing Address - Fax:
Practice Address - Street 1:4745 STATESMEN DR STE A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-5649
Practice Address - Country:US
Practice Address - Phone:317-844-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-20
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71003517A363LP2300X, 363LF0000X
IN28167231A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP01291597OtherMEDICARE RR PTAN
IN201009310Medicaid
INP01291597OtherMEDICARE RR PTAN
INM400047861Medicare PIN