Individual
MICHELLE TRACEY RUPENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNE
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202
(317) 880-0000
Mailing address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-0000
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28224919A
IN
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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