Individual
MS. MARY R LEONDIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1481 WEST 10TH STREET, INDIANAPOLIS, IN 46202
(317) 988-2750
(317) 226-0455
Mailing address
7643 WATERWOOD DR, INDIANAPOLIS, IN 46214-4037
(317) 222-5266
(317) 226-0455
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71001801A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71001801A
IN
Other
Enumeration date
07/31/2006
Last updated
04/30/2008
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