Mie Lidy Deborah Elizabeth Andre
Individual provider Active NPI Registered Nurse · Indianapolis, IN
NPI 1588596282 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1588596282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- N37795-01 (NY)
- Practice address
- 8655 Shadow Ridge LN Apt G
Indianapolis, IN 46239-8537 - Phone
- (929) 312-1148
- NPI assigned
- May 29, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N37795-01 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | N37795-01 | NY | Yes |
Addresses
Primary practice location
8655 Shadow Ridge LN Apt G
Indianapolis, IN 46239-8537
Mailing address
8655 Shadow Ridge LN Apt G
Apt G
Indianapolis, IN 46239-8537
Phone (929) 312-1148
Other providers in Indianapolis, IN
- Masatoshi Ando
- Laundra Andoh
- Eric Andonian
- Heather Janelle Andrade
- Nicolas Andrade
- Andrea Sue Campbell MSW,LCSW
- Brian Andree
- Kelsey M Andreis
- Sharon P Andreoli
- Christie Andreone
All providers in Indianapolis, IN · Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 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.