is a Licensed Practical Nurse in Indianapolis, Indiana. practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for is 1649437674. The last update date is .
's current location address is 1481 W 10th St, Indianapolis, Indiana. You can contact this provider via phone number 3175540000. The mailing address for is 1481 W 10th St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1481 W 10th St, Indianapolis, Indiana |
| Phone Number | 3175540000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1649437674 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1481 W 10th St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462022803 |
| Phone Number | 3175540000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 27031867A |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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