Active NPI
Angel Dawn Duzan, RN
- Neuroscience Clinical Nurse Specialist
- Indianapolis, IN
National Provider Identifier
1174136147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroscience Clinical Nurse Specialist
- License
- 28147791A
- Practice address
- 355 W 16TH St
Indianapolis, IN 46202-2207 - Phone
- (317) 962-4552
- NPI assigned
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroscience Clinical Nurse Specialist | 364SN0800X | 28147791A | IN | Primary |
Addresses
Primary practice location
355 W 16TH St
Indianapolis, IN 46202-2207
Mailing address
355 W 16TH St Ste 2305
Indianapolis, IN 46202-2207
Phone (317) 962-4552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28147791A | IN | MD | Neuroscience Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1174136147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 W 16TH ST STE 2305",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022207",
"telephone_number": "317-962-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W 16TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022207",
"telephone_number": "317-962-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUZAN",
"first_name": "ANGEL",
"middle_name": "DAWN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-28",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "364SN0800X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Neuroscience",
"state": "IN",
"license": "28147791A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.