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Individual

MARY S HESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3120
(812) 242-3055
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3120
(812) 242-3055

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000177A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000343072
ANTHEM
05
200374270
IN
01
P00403876
RAILROAD MEDICARE PIN
01
P00844310
RAILROAD MEDICARE
IN
Enumeration date
08/30/2006
Last updated
10/15/2010
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