AUTUMN J AGBAZA

INDIANAPOLIS, IN
NPI1730840299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71012160A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  21220818A)
Enumeration Date2022-01-06
Last Update Date2025-09-10
Business Address
AUTUMN J AGBAZA FNP-BC
6002 E 38TH ST
INDIANAPOLIS, IN 46226-5614
Phone number: 317-880-6002
Mailing Address
AUTUMN J AGBAZA FNP-BC
PO BOX 637764
CINCINNATI, OH 45263-7764
Phone number: 317-880-3939