NPI 1003456864

Olivia Cecile Cabanban, PA

Practitioner Physician Assistant Indianapolis, IN

Practice location

Address: 7525 E 82nd St STE a, Indianapolis, IN 46256-1435
Phone: (317) 621-1670
Mailing address: 6626 E 75th St STE 500, Indianapolis, IN 46250-2890

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10002816A (IN)

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Registry record

NPI: 1003456864
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2020
Record last updated: 6 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.