Provider Demographics
NPI:1013230911
Name:GULLION, AMBER N (NP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:N
Last Name:GULLION
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:N
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2201 E 46TH ST STE 172
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-1449
Mailing Address - Country:US
Mailing Address - Phone:317-370-0085
Mailing Address - Fax:317-722-2639
Practice Address - Street 1:2201 E 46TH ST STE 172
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-1449
Practice Address - Country:US
Practice Address - Phone:317-370-0085
Practice Address - Fax:317-722-2639
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71003247A363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200986240Medicaid
INM38018009OtherMEDICARE