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Individual

BANU BERKEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1351 RONALD REAGAN PKWY STE B, AVON, IN 46123-6764
(317) 948-3200
(317) 217-2424
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(765) 838-6448

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28193153A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009084A
IN
363LF0000X
Family Nurse Practitioner
CNP231124
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225681992
ME
05
300030286
IN
Enumeration date
07/22/2019
Last updated
09/10/2025
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