SearchIndiana363LA2100X

Andrea Dickson, NP

NPI 1558704445 · on the registry since 2013

Practice

Address
211 N Eddy St
Null
South Bend, IN 46617
Phone
(574) 234-8161
Organisation at this address
Icp Ppo, Llc
Pra Medical Inc
The South Bend Clinic Llc
The South Bend Clinic Llp
The South Bend Clinic Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
127

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
363LA2100X
363LA2100X
Licence states on file
VA, OH, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana