Individual
MAIRE STOCKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3400 LAFAYETTE RD STE 200, INDIANAPOLIS, IN 46222-1147
(317) 291-7422
Mailing address
3400 LAFAYETTE RD STE 200, INDIANAPOLIS, IN 46222-1147
(317) 291-7422
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71008088A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71008088A
LICENSE
IN
Enumeration date
07/14/2018
Last updated
07/14/2018
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