Individual
MARYELLEN BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5908 E STOP 11 RD, INDIANAPOLIS, IN 46237
(317) 497-6800
(317) 497-6801
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004119A
IN
363LF0000X
Family Nurse Practitioner
71004119B
IN
Other
Enumeration date
09/06/2012
Last updated
11/27/2023
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