Individual
SALLY ROSE DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR STE 4230, INDIANAPOLIS, IN 46202-5109
(317) 948-8556
(317) 948-7290
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28196065A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71010369A
IN
363LP2300X
Primary Care Nurse Practitioner
71010369A
IN
Other
Enumeration date
09/29/2020
Last updated
12/17/2020
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