Doctor Name: | TIA IMHOFF MCGEE |
NPI Number: | 1003138587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 14798 |
Business Practice Address: | 705 Riley Hospital Dr Indianapolis, IN - 462025109 |
Business Phone Number: | 3173122204 |
Business Fax Number: | |
Mailing Address: | 222 N East St Unit 103, INDIANAPOLIS |
State: | IN |
Postal Code: | 462042624 |
Phone Number: | 3303479442 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2010 |
NPI Last Update Date: | 04/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 14798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |