Organization
LORD OF HEAVEN'S ARMIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PRESTON NP (OWNER)
(317) 500-4362
Entity
Organization
Contact information
Practice address
3549 BOULEVARD PL, INDIANAPOLIS, IN 46208-4403
(317) 500-4362
Mailing address
9304 TOWER BRIDGE RD APT B, INDIANAPOLIS, IN 46240-5435
(317) 500-4362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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