Aissata Nazeck Bah, NP
Individual provider Active NPI Family Nurse Practitioner · Indianapolis, IN
NPI 1275487175 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1275487175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F11250199 (IN)
- Practice address
- 4124 Robertson Blvd
Indianapolis, IN 46228-6735 - Phone
- (317) 658-6394
- NPI assigned
- Feb 26, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F11250199 | IN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F11250199 | IN | Yes |
Addresses
Primary practice location
4124 Robertson Blvd
Indianapolis, IN 46228-6735
Mailing address
4124 Robertson Blvd
Indianapolis, IN 46228-6735
Other providers in Indianapolis, IN
- Yaser Baghdadi
- Brent Alan Bagley
- Asia Bagwell
- Casey Ann Bagwell
- Todd Bagwell
- Salma Bah
- Waled Bahaj
- Gwyne Bahler
- Hamreet Kaur Baidwan
- Kashif Mohammad Baig
All providers in Indianapolis, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.