Individual
MS. SHERRY AXLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
3206 OCEANLINE EAST DR, INDIANAPOLIS, IN 46214-4154
(317) 361-7150
Mailing address
3206 OCEANLINE EAST DR, INDIANAPOLIS, IN 46214-4154
(317) 361-7150
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-19264
IN
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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