Individual
MRS. PEGGY LEONA BURNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-7233
(317) 656-4202
Mailing address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-7233
(317) 656-4202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28108310A
IN
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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