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MRS. DOROTHY ROBERTA SELF ANP
NPI 1194905190
Nurse Practitioner - Adult Health in Indianapolis, IN

Active since November 07, 2007
1700 N CAPITOL AVE, B465, INDIANAPOLIS, IN 46202(317) 962-0745(317) 962-8349 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Dorothy Roberta Self Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DOROTHY ROBERTA SELF ANP (NPI 1194905190) is an individual adult health provider in Indianapolis, Indiana, licensed in Indiana (71000600) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1194905190
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. DOROTHY ROBERTA SELFCredential: ANP
Location Address1700 N CAPITOL AVE, B465Indianapolis, IN 46202
Mailing AddressPo Box 1367, B465Indianapolis, IN 46206-1367 · (317) 962-0745 · Fax (317) 962-8349
Phone(317) 962-0745
Fax(317) 962-8349
Sole ProprietorNo
Enumeration DateNovember 7, 2007
✔ NPI 1194905190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IN · 71000600
1700 N CAPITOL AVE, Indianapolis, IN 46202
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Other Names 1

Former Name (1)Dorothy Smith Self

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorothy Self's NPI number?

The NPI number for Dorothy Self is 1194905190. It was assigned to this individual provider in the NPPES registry on November 7, 2007. The provider is also known as Dorothy Smith Self.

Where is Dorothy Self located?

Dorothy Self practices at 1700 N Capitol Ave B465, Indianapolis, IN 46202. The listed phone number is (317) 962-0745.

What is Dorothy Self's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Dorothy Self was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.