Organization
FAMILY PRACTICE VISITING PROVIDERS LLC
Active
Other names
Family Practice Visiting Providers
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMIE RENA MAIDEN FNP (FAMILY NURSE PRACTITIONER)
(937) 248-9968
Entity
Organization
Contact information
Practice address
120 E MARKET ST STE 1273, INDIANAPOLIS, IN 46204-3250
(317) 807-0859
(317) 807-0862
Mailing address
120 EAST MARKET ST. SUITE 1273, INDIANAPOLIS, IN 46204-3250
(317) 807-0859
(317) 807-0862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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