Organization
MIGNONETTE DARLENE CERTIFIED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGNONETTE DARLENE MSN, FNP-BC (OWNER)
(317) 503-9926
Entity
Organization
Contact information
Practice address
4430 EVANSTON AVE, INDIANAPOLIS, IN 46205-2242
(317) 503-9926
Mailing address
4430 EVANSTON AVE, INDIANAPOLIS, IN 46205-2242
(317) 503-9926
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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