Individual
ANNA TRISTE BOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-4346
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-4346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28147711A
IN
363L00000X
Nurse Practitioner
Primary
71002251A
IN
Other
Enumeration date
10/17/2006
Last updated
05/02/2013
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