Individual
LORAINE RUTH CONDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8402 HARCOURT RD STE 400, INDIANAPOLIS, IN 46260-2053
(317) 338-6815
Mailing address
8402 HARCOURT RD STE 400, INDIANAPOLIS, IN 46260-2053
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
3009488
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
71004910A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100362900
—
KY
01
—
K190270
MEDICARE
KY
Enumeration date
06/02/2014
Last updated
03/19/2025
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