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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROACTIVE CLINICAL PARTNERS

Deactivated Organization

PROACTIVE CLINICAL PARTNERS is a Gerontological Nurse Practitioner organization located in INDIANAPOLIS, Indiana. NPI 1366934242 is deactivated in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · INDIANAPOLIS, IN

This NPI has been deactivated. The record was deactivated on October 10, 2025. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1366934242
Provider Type
Organization
NPI Issued
Jun 5, 2018 (7.3479452054795 yrs)
Last Updated
Dec 19, 2025
Deactivated
Oct 10, 2025

Practice Information

Address
2485 DIRECTORS ROW STE D
INDIANAPOLIS, IN, 462414907
Browse IN providers · Browse ZIP 46241
Phone
3179417338
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Organizations in INDIANAPOLIS, IN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.