Individual
MARIE J PFOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8300 E 96TH ST, FISHERS, IN 46037-9795
(317) 621-1290
(317) 621-1291
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003243A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200986130
—
IN
Enumeration date
07/06/2010
Last updated
11/27/2023
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