Individual
MINDY JO RUTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8075 N SHADELAND AVE STE 350, INDIANAPOLIS, IN 46250-2693
(317) 621-8668
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004656A
IN
363LF0000X
Family Nurse Practitioner
F0613919
IN
Other
Enumeration date
09/16/2013
Last updated
12/19/2022
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