Individual
MARYSSA DEPIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8240 NAAB RD STE 416, INDIANAPOLIS, IN 46260-0012
(317) 306-5588
Mailing address
4658 HINESLEY AVE, INDIANAPOLIS, IN 46208-3433
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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