Individual
MELISSA MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8355 ROCKVILLE RD STE 120, INDIANAPOLIS, IN 46234-2722
(317) 429-0061
(317) 222-1953
Mailing address
8355 ROCKVILLE RD STE 120, INDIANAPOLIS, IN 46234-2722
(317) 429-0061
(317) 222-1953
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71009541A
IN
363LG0600X
Gerontology Nurse Practitioner
71009541A
IN
363LP2300X
Primary Care Nurse Practitioner
71009541A
IN
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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