Individual
SUKYONG RHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-2560
(317) 355-2418
Mailing address
6626 E 75TH STREET, STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28165403A
IN
363L00000X
Nurse Practitioner
Primary
71004930A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71004930A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201235560
—
IN
Enumeration date
04/02/2014
Last updated
11/27/2023
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